Organization
SOUTH TEXAS RADIATION ONCOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAY GARLITOS MD (OWNER)
(832) 549-3961
Entity
Organization
Contact information
Practice address
100B MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-9268
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029882006
—
TX
Enumeration date
10/15/2019
Last updated
10/15/2019
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