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TYLER TEXAS RADIATION ONCOLOGY PA NPI 1326270984


NPI Information

NPI: 1326270984
Provider Name: TYLER TEXAS RADIATION ONCOLOGY PA
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
721 CLINIC DR
TYLER, TX
ZIP 75701
Phone: (903) 595-5550
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TYLER TEXAS RADIATION ONCOLOGY PA is a radiation oncology radiology in Tyler, 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. TYLER TEXAS RADIATION ONCOLOGY PA NPI is 1326270984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 CLINIC DR
TYLER, TX
ZIP 75701-043
Phone: (903) 595-5550

The provider's authorized official is Heidi L Roberts-mckellar .
The authorized official title is Owner and has the following contact phone number (903) 595-5550.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/17/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

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

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