Organization Active NPI

Comprehensive Breast Care Center of Texas Inc

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1821189945
Registry record updated Jul 17, 2012
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
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

Updated by the provider on Jul 17, 2012

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
143932501MedicaidTX

Other names 1

  • SOLIS WOMEN'S HEALTH Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.