Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Texas Radiation Oncology Medical Group, PLLC

Organization Radiation Oncology Physician · NPI 1073915245

Texas Radiation Oncology Medical Group, PLLC provides Radiation Oncology Physician services 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 Not confirmed with CMS for 11 years — call before visiting
Phone: (817) 693-0900
Show map & directions

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

Other providers in Trophy Club