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RIO BRAVO CANCER & BLOOD P.A. NPI 1205842747


NPI Information

NPI: 1205842747
Provider Name: RIO BRAVO CANCER & BLOOD, P.A.
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 45D1002780

Address:
1301 AVENUE G
DEL RIO, TX
ZIP 78840
Phone: (830) 775-5800
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RIO BRAVO CANCER & BLOOD, P.A. is a medical oncology internal medicine in Del Rio, TX. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. RIO BRAVO CANCER & BLOOD, P.A. NPI is 1205842747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1301 AVENUE G
DEL RIO, TX
ZIP 78840-627
Phone: (830) 775-5800

The provider's authorized official is Diego Taylor .
The authorized official title is Administrator and has the following contact phone number (830) 775-5800.

The CLIA number assigned to this NPI record is 45D1002780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DC5372OTHERTEXASRAILROAD MEDICARE GROUP #
200522WOTHERTEXASMEDICARE
31651671 (01)MEDICAIDTEXAS
449LWOTHERTEXASBC/BS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.