Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Texas Radiation Oncology Medical Group, PLLC

Organization Radiation Oncology Physician · NPI 1073915245

Texas Radiation Oncology Medical Group, PLLC is a Radiation Oncology Physician in Trophy Club, Texas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 State Hwy 114 E Ste 100
Trophy Club, TX 76262
Phone: (817) 693-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X

Record details

NPI number1073915245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ajmel Puthawala — Medical Doctor · (714) 962-1700
NPI enumeratedSeptember 19, 2014
Last updated in NPPESJanuary 9, 2015
Mailing address2865 E Coast Hwy, 200, Corona Del Mar, CA 92625-2236

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