Phoenix Oncology of Texas PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

G3515 Issued in TX

Legal business name

PHOENIX ONCOLOGY OF TEXAS PLLC

Practice address

1304 Wonder World Dr
San Marcos, TX 78666-7532

Phone

(512) 396-2500

NPI assigned

Oct 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

J. Michael Kerley, MD

Title

President/Owner

Phone

(903) 491-8470

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1194078790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667532",
            "telephone_number": "512-396-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667532",
            "telephone_number": "512-396-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ONCOLOGY OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-491-8470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "G3515",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "G3515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Care USA of San Marcos, LLC
• Pharmacy Care USA of San Marcos, LLC
• Whitney Michelle Phelps, M.S., CCC-SLP
• Alberto Phillips
• Jasmine Kealoha Phillips
• Physical Therapy and Rehab Concepts, P.C.
• Physician's Inpatient Care PA
• Picc Line Professional Group, Inc.
• James Elwood Pickett III, MD
• Taylor Pickney

• Radiation Oncology Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.