Comprehensive Breast Care Center of Texas Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC

Practice address

1250 8TH Ave
#130
Fort Worth, TX 76104-4124

Phone

(817) 886-0880

Fax

(817) 924-9349

NPI assigned

Sep 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Polfreman

Title

Ceo

Phone

(469) 398-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Solis Women's Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1073604195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 DALLAS PKWY",
            "address_2": "STE. 500",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013353",
            "telephone_number": "469-398-4100",
            "fax_number": "469-398-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE",
            "address_2": "#130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044124",
            "telephone_number": "817-886-0880",
            "fax_number": "817-924-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "POLFREMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-398-4110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162352201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solis Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Breast Care Center of Texas Inc
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• Crystal Comptn, C.PED
• Concentra Health Services, Inc.

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.