Provider Demographics
NPI:1053580217
Name:CANCER SURGERY & PREVENTION SPECIALISTS PA
Entity type:Organization
Organization Name:CANCER SURGERY & PREVENTION SPECIALISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES AND CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:R
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-386-0737
Mailing Address - Street 1:5 LOST TIMBERS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1661
Mailing Address - Country:US
Mailing Address - Phone:210-492-3174
Mailing Address - Fax:210-492-3174
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:SUITE 508
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-386-0737
Practice Address - Fax:210-386-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty