Provider Demographics
NPI:1427002682
Name:OSTEOPOROSIS SCREENING SERVICES INC
Entity Type:Organization
Organization Name:OSTEOPOROSIS SCREENING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHO
Authorized Official - Suffix:
Authorized Official - Credentials:CMRT
Authorized Official - Phone:214-337-6513
Mailing Address - Street 1:PO BOX 542154
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-2154
Mailing Address - Country:US
Mailing Address - Phone:214-337-6513
Mailing Address - Fax:214-337-3300
Practice Address - Street 1:2301 S HAMPTON RD STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1678
Practice Address - Country:US
Practice Address - Phone:214-337-6513
Practice Address - Fax:214-337-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20550247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171670601Medicaid
TX171670601Medicaid