AUSTIN TEXAS RADIATION ONCOLOGY GROUP PA NPI 1790010585

NPI Information

AUSTIN TEXAS RADIATION ONCOLOGY GROUP, PA is a specialist in Austin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AUSTIN TEXAS RADIATION ONCOLOGY GROUP, PA NPI is 1790010585. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin Cancer Center.

The provider's business location address is:

11111 RESEARCH BLVD
AUSTIN, TX
ZIP 78759-264
Phone: (512) 531-5200
Fax: (512) 531-5280

The provider's authorized official is Ean Rankin .
The authorized official title is Ceo and has the following contact phone number (512) 623-5201.

The CLIA number assigned to this NPI record is 45D2112900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 10/12/2009.

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:

Other Identifiers

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

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