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Contact Information

TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC
2800 STATE HWY 114 EAST
SUITE 100
TROPHY CLUB, TX76262
 Phone: 817-693-0900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC

NPI # 1073915245
LBN Legal business name TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC
Authorized official AJMEL PUTHAWALA - (MEDICAL DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2014
Last updated 01/09/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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