# BRACHYTHERAPY CENTERS OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BC of TX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992182703
- **Authorized official:** JESSE PENA JR. (PRESIDENT)
- **Authorized official phone:** (972) 403-9777

## Contact information

- **Practice address:** 6513 PRESTON RD, SUITE \#300, PLANO, TX 75024-2688
- **Practice address phone:** (972) 403-9777
- **Practice address fax:** (972) 403-9222
- **Mailing address:** PO BOX 678799, DALLAS, TX 75267-8799
- **Mailing address phone:** (972) 403-9777
- **Mailing address fax:** (972) 403-9222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | TX | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 08/13/2015