Active NPI
South Texas Radiation Oncology PLLC
- Radiation Oncology Physician
- Lake Jackson, TX
National Provider Identifier
1962044628
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
- NPI assigned
- Oct 15, 2019
- 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
- Owner
- Phone
- (832) 549-3961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
100B Medical Dr
Lake Jackson, TX 77566-5674
Mailing address
100B Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-9268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029882006 | Medicaid | TX |
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.
-
- 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": "1571097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571097600000",
"number": "1962044628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS RADIATION ONCOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A",
"authorized_official_last_name": "GARLITOS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-549-3961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029882006",
"state": "TX"
}
],
"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 Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.