Provider Demographics
NPI:1417982489
Name:SAN ANGELO RADIATION ONCOLOGY, P.A.
Entity Type:Organization
Organization Name:SAN ANGELO RADIATION ONCOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:STUDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-653-2010
Mailing Address - Street 1:PO BOX 2189
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76902-2189
Mailing Address - Country:US
Mailing Address - Phone:325-653-2010
Mailing Address - Fax:325-658-8583
Practice Address - Street 1:102 N MAGDALEN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-5400
Practice Address - Country:US
Practice Address - Phone:325-653-2010
Practice Address - Fax:325-658-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5664174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty