Breast Diagnostics , PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L5600 Issued in TX

Legal business name

BREAST DIAGNOSTICS , PA

Practice address

2817 S Mayhill Rd
Ste 270
Denton, TX 76208-5966

Phone

(940) 483-9500

Fax

(940) 483-9550

NPI assigned

Jun 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Priya Venugopal, MD

Title

President

Phone

(940) 483-9550

Specialties & licenses 1

Addresses

Tax ID family

Breast Diagnostics PA2 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.

• Breast Diagnostics, PA

  • Specialist
  • Mansfield, TX
  • NPI 1871820423
  NPD tax ID

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942405436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E SOUTHLAKE BLVD",
            "address_2": "STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926422",
            "telephone_number": "817-749-2000",
            "fax_number": "817-749-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 S MAYHILL RD",
            "address_2": "STE 270",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762085966",
            "telephone_number": "940-483-9500",
            "fax_number": "940-483-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST DIAGNOSTICS , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENUGOPAL",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-483-9550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Elyse Brady, LCSW
• Virginia J. Brady, PH.D
• Brain-Body Connection
• Gloria Leticia Branson
• Mark Branson, AGACNP
• Adam Phillip Breceda, M.D.
• Carrie Breedlove, MS, LPC, CRC
• Breeze Psychiatry
• Jeffrey Paul Brekke, M.D.
• Bobby (BJ) James Brewer, PT ASST

• Specialist in Denton, TX
• Providers in Denton, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.