Provider Demographics
NPI:1306125653
Name:CANCER TREATMENT AND PREVENTION SPECIALIST INC
Entity type:Organization
Organization Name:CANCER TREATMENT AND PREVENTION SPECIALIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAYOSTEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-556-5800
Mailing Address - Street 1:7901 HEMBRILLO CANYON CT
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8406
Mailing Address - Country:US
Mailing Address - Phone:505-795-4152
Mailing Address - Fax:575-556-5899
Practice Address - Street 1:2450 S TELSHOR BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5069
Practice Address - Country:US
Practice Address - Phone:575-556-5800
Practice Address - Fax:575-556-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty