Organization Active NPI

Professional Radiation Services, PLLC

  • Radiation Oncology Physician
  • Laredo, TX
National Provider Identifier
1902089055
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
L5631 Issued in TX
Legal business name
PROFESSIONAL RADIATION SERVICES, PLLC
Practice address
1700 E Saunders St
Laredo, TX 78041-5474
Phone
(956) 796-3159
Fax
(956) 796-3173
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
S. Diane Sellars
Title
Credentialling/Accounting
Phone
(615) 746-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X L5631 TX Primary

Addresses

Primary practice location

1700 E Saunders St
Laredo, TX 78041-5474

Mailing address

PO Box 202340
Dallas, TX 75320-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1902089055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474",
            "telephone_number": "956-796-3159",
            "fax_number": "956-796-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "SELLARS",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CREDENTIALLING/ACCOUNTING",
        "authorized_official_telephone_number": "615-746-4711"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "L5631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.