Provider Demographics
NPI:1386849883
Name:BFC HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:BFC HEALTHCARE, P.A.
Other - Org Name:JASPER IMAGING AND DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FLECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-384-7776
Mailing Address - Street 1:150 W GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-4936
Mailing Address - Country:US
Mailing Address - Phone:409-384-7776
Mailing Address - Fax:409-384-7779
Practice Address - Street 1:150 W GIBSON ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-4936
Practice Address - Country:US
Practice Address - Phone:409-384-7776
Practice Address - Fax:409-384-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6063261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)