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CCCST - SEGUIN
NPI 1497882245
Internal Medicine - Hematology & Oncology in Seguin, TX

Active since February 28, 2007
1025 N AUSTIN ST, SEGUIN, TX 78155(830) 379-8688(210) 595-5301 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cccst - Seguin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCCST - SEGUIN (NPI 1497882245) is a healthcare organization registered as a hematology & oncology in Seguin, Texas and active in the NPI registry since February 2007. The organization lists Roger M. Lyons, President, as its authorized official.

NPPES Registry Identity

NPI1497882245
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCCCST - SEGUIN
Location Address1025 N AUSTIN STSeguin, TX 78155-4517
Mailing Address4411 Medical Dr Ste 100San Antonio, TX 78229-3832 · (210) 595-5300 · Fax (210) 614-8740
Phone(830) 379-8688
Fax(210) 595-5301
Organization SubpartNo
Authorized OfficialRoger M. LyonsPresident · (210) 595-5300
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497882245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · E3811
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1025 N AUSTIN ST, Seguin, TX 78155
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS HAYS RAETZSCH M.D.
Family Medicine
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184
MARILYNN WOMACK APRN,FNP-C
Nurse Practitioner (Family)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184
EYE SPECIALISTS OF AUSTIN, PA
Ophthalmology (Glaucoma Specialist)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184
ERIN MICHELLE WITTE FUDGE
Nurse Practitioner (Family)
1025 N AUSTIN ST
SEGUIN, TX 78155
Guadalupe County (830) 379-1184

Frequently Asked Questions

What is CCCST - SEGUIN's NPI number?

The NPI number assigned to this healthcare provider is 1497882245, enumerated as an "organization" on February 28, 2007.

Where is the provider located?

The provider is located at 1025 N AUSTIN ST SEGUIN, TX 78155 and the phone number is (830) 379-8688.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.