Organization Active NPI

Skin and Radiation Specialists PLLC

  • Radiation Oncology Physician
  • Plano, TX
National Provider Identifier
1972970036
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
H9745 Issued in TX
Legal business name
SKIN AND RADIATION SPECIALISTS PLLC
Practice address
6513 Preston Rd
Suite 300
Plano, TX 75024-2694
Phone
(972) 403-9777
Fax
(972) 403-9222
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Renu Hausen, M.D.
Title
Manager
Phone
(516) 578-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X H9745 TX Primary

Addresses

Primary practice location

6513 Preston Rd
Suite 300
Plano, TX 75024-2694

Mailing address

55 Orchard CT
Woodbury, NY 11797-2801
Phone (516) 367-3371

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1972970036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ORCHARD CT",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972801",
            "telephone_number": "516-367-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242694",
            "telephone_number": "972-403-9777",
            "fax_number": "972-403-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN AND RADIATION SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "HAUSEN",
        "authorized_official_first_name": "RENU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-578-1226",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H9745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.