P Praxis·MD
● Active Type 2 · Organization

Phoenix Oncology Lost Pines Pllc

Radiology·Bastrop, TX· NPI 1558795161 · Enumerated 2013 · 12 years on NPI
Phoenix Oncology Lost Pines Pllc is 1 of 568 radiology organizations in Texas.
NPI age
12 years
Enumerated 2013-08-30
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kerley
Owner
Last NPPES update
2013-08-30
Source: monthly bulk 2026-05

How this organization compares

Across 568 active radiology providers in Texas.

NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
3107 Highway 71 E
Bastrop, TX 786025158
📞 5123035100fax 5123035106
Mailing address
3107 Highway 71 E
Bastrop, TX 786025158
📞 5123035100fax 5123035106

Authorized official

Jimmy Michael Kerley, MD
Owner
📞 5123035100

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    TX license #G3515 taxonomy 2085R0001X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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