Organization Active NPI

Comprehensive Breast Care Center of Texas Inc

Doing business as Womens Diagnostic

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1306933098
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC
Doing business as
Womens Diagnostic
Practice address
800 5TH Ave
Suite 400
Fort Worth, TX 76104-7305
Phone
(817) 924-1999
Fax
(817) 886-0881
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mrs. Eileen Kanewske
Title
Director
Phone
(512) 370-8114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

800 5TH Ave
Suite 400
Fort Worth, TX 76104-7305

Mailing address

600 Congress Ave
Suite 2150
Austin, TX 78701-2991
Phone (512) 370-8100

Other names 1

  • Womens Diagnostic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Breast Care Center of Texas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 Congress Ave
Ste 2150
Austin, TX 78701

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1306933098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CONGRESS AVE",
            "address_2": "SUITE 2150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012991",
            "telephone_number": "512-370-8100",
            "fax_number": "512-370-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE",
            "address_2": "SUITE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047305",
            "telephone_number": "817-924-1999",
            "fax_number": "817-886-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "KANEWSKE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-370-8114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.