Active NPI
South Texas Radiation Oncology PLLC
- Radiation Oncology Physician
- Lake Jackson, TX
National Provider Identifier
1942837158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- SOUTH TEXAS RADIATION ONCOLOGY PLLC
- Practice address
- 100B Medical Dr
Lake Jackson, TX 77566-5674 - Phone
- (979) 297-9268
- Fax
- (979) 297-9331
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Ray Garlitos, MD
- Title
- Radiation Oncology
- Phone
- (979) 297-9268
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
100B Medical Dr
Lake Jackson, TX 77566-5674
Mailing address
PO Box 368
Lake Jackson, TX 77566-0368
Phone (979) 297-9268
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Lake Jackson, TX
- NPI 1386629574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1942837158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775660368",
"telephone_number": "979-297-9268",
"fax_number": "979-297-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100B MEDICAL DR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665674",
"telephone_number": "979-297-9268",
"fax_number": "979-297-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS RADIATION ONCOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "GARLITOS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "RADIATION ONCOLOGY",
"authorized_official_telephone_number": "979-297-9268",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.