Organization · NPI-2

1304 Wonder World Center For Cancer Care Ltd

· San Marcos, TX

NPI number1265574263
StatusActive
Last updated in NPPESOct 7, 2011

Details

NPI
1265574263
Entity type
Organization (NPI-2)
Legal business name
1304 Wonder World Center For Cancer Care Ltd
Organization subpart
No
Enumeration date
Feb 13, 2007
Last updated
Oct 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Other names

  • The Wonder World Center For Cancer Care (Doing Business As)

Practice location

1304 Wonder World Dr
San Marcos, TX 78666-7532

Phone 512-396-2500 · Fax 512-396-7640

Mailing address

Po Box 847506
Dallas, TX 75284-7506

Phone 512-396-2500 · Fax 512-396-7640

Authorized official

David Campbell Jones
Owner
5123962500

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