Organization
COMPREHENSIVE BREAST CARE CENTER OF TEXAS INC
Active
Other names
Solis Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES POLFREMAN (CEO)
(469) 398-4110
Entity
Organization
Contact information
Practice address
1250 8TH AVE, #130, FORT WORTH, TX 76104-4124
(817) 886-0880
(817) 924-9349
Mailing address
15601 DALLAS PKWY, STE. 500, ADDISON, TX 75001-3353
(469) 398-4100
(469) 398-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162352201
—
TX
Enumeration date
09/27/2006
Last updated
07/17/2012
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