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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