PHOENIX ONCOLOGY LOST PINES PLLC NPI 1558795161

NPI Information

NPI: 1558795161
Provider Name: PHOENIX ONCOLOGY LOST PINES PLLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
3107 HIGHWAY 71 E
BASTROP, TX
ZIP 78602
Phone: (512) 303-5100
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PHOENIX ONCOLOGY LOST PINES PLLC is a radiation oncology radiology in Bastrop, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. PHOENIX ONCOLOGY LOST PINES PLLC NPI is 1558795161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3107 HIGHWAY 71 E
BASTROP, TX
ZIP 78602-158
Phone: (512) 303-5100
Fax: (512) 303-5106

The provider's authorized official is Jimmy Michael Kerley .
The authorized official title is Owner and has the following contact phone number (512) 303-5100.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 8/30/2013.

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
1	2085R0001X	Radiology	Radiation Oncology	G3515	TEXAS	Yes

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

NPI Synchronization or Removal

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