BASTROP LOST PINES CENTER FOR CANCER CARE LTD NPI 1770737454

NPI Information

  • NPI: 1770737454
  • Provider Name: BASTROP LOST PINES CENTER FOR CANCER CARE LTD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Doing Business As: THE BASTROP LOST PINES CENTER FOR CANCER CARE
  • Address: 3107 EAST HIGHWAY 71
    BASTROP, TX
    ZIP 78602
  • Phone: (512) 321-5700

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NPI Details

BASTROP LOST PINES CENTER FOR CANCER CARE LTD 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. BASTROP LOST PINES CENTER FOR CANCER CARE LTD NPI is 1770737454. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Bastrop Lost Pines Center For Cancer Care.

The provider's business location address is:

3107 EAST HIGHWAY 71
BASTROP, TX
ZIP 78602-156
Phone: (512) 321-5700
Fax: (512) 396-7640

The provider's authorized official is David C Jones .
The authorized official title is Owner and has the following contact phone number (512) 396-2500.

The enumeration date for this NPI number is 11/8/2008 and was last updated on 10/19/2010.

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
12085R0001XRadiologyRadiation OncologyH3082TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10A3906MEDICARE PINTEXAS

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: 3/30/2025

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