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Contact Information

PHOENIX ONCOLOGY LOST PINES PLLC
3107 HIGHWAY 71 E
BASTROP, TX78602-5158
 Phone: 512-303-5100
 Fax: 512-303-5106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PHOENIX ONCOLOGY LOST PINES PLLC

NPI # 1558795161
LBN Legal business name PHOENIX ONCOLOGY LOST PINES PLLC
Authorized official JIMMY KERLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2013
Last updated 08/30/2013 - About 13 years ago
Identifiers
TX License # G3515
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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