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Organization
BRACHYTHERAPY CENTERS OF TEXAS LLC
Active
Organization
BRACHYTHERAPY CENTERS OF TEXAS LLC
Active
Other names
BC of TX
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE PENA JR. (PRESIDENT)
(972) 403-9777
Entity
Organization
Contact information
Practice address
6513 PRESTON RD, SUITE #300, PLANO, TX 75024-2688
(972) 403-9777
(972) 403-9222
Mailing address
PO BOX 678799, DALLAS, TX 75267-8799
(972) 403-9777
(972) 403-9222
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
TX
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
TX
Other
Enumeration date
04/30/2015
Last updated
08/13/2015
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