| Organization Name: | COMPREHENSIVE BREAST CARE CENTER OF TEXAS, INC |
| NPI Number: | 1023266871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES POLFREMAN (CEO) |
| Mailing Address: | 4430 Lavon Dr Ste. 226 Garland |
| State: | TX US |
| Postal Code: | 750403000 |
| Phone Number: | 9725300100 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2008 |
| NPI Last Update Date: | 07/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |