Individual
DR. DANIEL RAY GARLITOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100B MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-9268
(979) 297-9331
Mailing address
100B MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-9268
(979) 297-9331
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
K7742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00250T
GROUP MEDICARE PIN
TX
01
—
00251T
GROUP MEDICARE PIN
TX
05
—
029882004
—
TX
05
—
029882005
—
TX
01
—
1590473-01
MEDICAID GROUP
TX
01
—
1590648-01
MEDICAID GROUP
TX
01
—
8BP367
BCBS
TX
01
—
P00695492
RAILROAD MEDICARE
TX
Enumeration date
12/09/2005
Last updated
01/23/2025
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