| Organization Name: | KERRVILLE CANCER CENTER LTD |
| NPI Number: | 1083622781 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDY RIOS (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 218 Sidney Baker St Kerrville |
| State: | TX US |
| Postal Code: | 780285367 |
| Phone Number: | 8302572070 |
| Fax Number: | 8302572079 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | R17560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |