Provider Demographics
NPI:1053492439
Name:OSTEOPOROSIS CENTER OF DENTON
Entity Type:Organization
Organization Name:OSTEOPOROSIS CENTER OF DENTON
Other - Org Name:CINDY A. REESE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER TECH
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:RT, CDT
Authorized Official - Phone:940-484-4874
Mailing Address - Street 1:1614 SCRIPTURE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3837
Mailing Address - Country:US
Mailing Address - Phone:940-484-4874
Mailing Address - Fax:940-387-0838
Practice Address - Street 1:1614 SCRIPTURE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3837
Practice Address - Country:US
Practice Address - Phone:940-484-4874
Practice Address - Fax:940-387-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00167502Medicare PIN
TXFTX148Medicare ID - Type Unspecified