Texas Radiation Oncology Medical Group, Pllc
NPI #1073915245 in Trophy Club, Texas
Provider Information
- NPI Number
- 1073915245
- Entity Type
- Organization
- Organization Name
- Texas Radiation Oncology Medical Group, Pllc
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Sep 19, 2014
- Last Updated
- Jan 9, 2015
Practice Location
- Address
- 2800 STATE HWY 114 EAST
- Address 2
- SUITE 100
- City
- Trophy Club
- State
- Texas
- ZIP Code
- 76262
- Phone
- (817) 693-0900
Authorized Official
- Name
- DR. AJMEL A PUTHAWALA, MD
- Title
- MEDICAL DOCTOR
- Phone
- (714) 962-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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