Provider Demographics
NPI:1992896633
Name:RADIATION ONCOLOGY OF THE SOUTH PLAINS, P.A.
Entity type:Organization
Organization Name:RADIATION ONCOLOGY OF THE SOUTH PLAINS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUI-LIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-793-1406
Mailing Address - Street 1:2202 MEMPHIS AVE
Mailing Address - Street 2:202
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1342
Mailing Address - Country:US
Mailing Address - Phone:806-793-1406
Mailing Address - Fax:806-796-1167
Practice Address - Street 1:4002 21ST ST
Practice Address - Street 2:STE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1135
Practice Address - Country:US
Practice Address - Phone:806-793-1406
Practice Address - Fax:806-796-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8619207RH0003X
TXH09852085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00027KMedicare UPIN