Organization
PHOENIX ONCOLOGY OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. MICHAEL KERLEY MD (PRESIDENT/OWNER)
(903) 491-8470
Entity
Organization
Contact information
Practice address
1304 WONDER WORLD DR, SAN MARCOS, TX 78666-7532
(512) 396-2500
Mailing address
1304 WONDER WORLD DR, SAN MARCOS, TX 78666-7532
(512) 396-2500
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
G3515
TX
2085R0001X
Radiation Oncology Physician
Primary
G3515
TX
Other
Enumeration date
10/19/2012
Last updated
10/22/2012
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