Breast Care Center Of North Texas
Specialist in Bedford, TX. Organization (NPI-2).
NPI number1982805305
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982805305
- Entity type
- Organization (NPI-2)
- Legal business name
- Breast Care Center Of North Texas
- Organization subpart
- No
- Enumeration date
- May 31, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G2110 | TX | Yes |
Practice location
1615 Hospital PkwySuite 109
Bedford, TX 76022-5934
Phone 817-662-0008 · Fax 817-662-0014
Mailing address
1615 Hospital PkwySuite 109
Bedford, TX 76022-5934
Phone 817-662-0008 · Fax 817-662-0014
Authorized official
Mary B Brian
President
8176620008
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