Active NPI
Comprehensive Breast Care Center of Texas Inc
- Diagnostic Radiology Physician
- Plano, TX
National Provider Identifier
1821189945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC
- Practice address
- 3801 W 15TH St Ste C
Plano, TX 75075-7775 - Phone
- (972) 596-4033
- Fax
- (972) 985-9649
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3801 W 15TH St Ste C
Plano, TX 75075-7775
Mailing address
15601 Dallas Pkwy
Ste. 500
Addison, TX 75001-3353
Phone (469) 398-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143932501 | Medicaid | TX |
Other names 1
- SOLIS WOMEN'S HEALTH
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": "1821189945",
"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": "3801 W 15TH ST STE C",
"city": "PLANO",
"state": "TX",
"postal_code": "750757775",
"telephone_number": "972-596-4033",
"fax_number": "972-985-9649"
}
],
"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": "143932501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOLIS WOMEN'S HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
- Complete Family Eye Care and Associates
- Complete Home Health LLC
- Complete Therapies, L.L.C.
- Compliment LLC
- Comprehensive Breast Care Center of Texas Inc
- Comprehensive Neurology Center, PA
- Comprehensive Pain Solutions of Texas PLLC
- Comprehensive Rehabilitation Medicine Consultants PLLC
- Regina Gail Compton
- Frederick Kyle Comrie, M.D.
Sources for this page
- 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.