| Organization Name: | TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC |
| NPI Number: | 1073915245 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AJMEL A PUTHAWALA (MEDICAL DOCTOR) |
| Mailing Address: | 2800 State Hwy 114 East Suite 100 Trophy Club |
| State: | TX US |
| Postal Code: | 76262 |
| Phone Number: | 8176930900 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2014 |
| NPI Last Update Date: | 01/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |