Provider Demographics
NPI:1497997035
Name:BREAST IMAGING CENTERS OF TEXAS, LLC
Entity type:Organization
Organization Name:BREAST IMAGING CENTERS OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS, MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-666-4224
Mailing Address - Street 1:5555 WEST LOOP S
Mailing Address - Street 2:SUITE 350
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2100
Mailing Address - Country:US
Mailing Address - Phone:713-715-4800
Mailing Address - Fax:713-715-4840
Practice Address - Street 1:5555 WEST LOOP S
Practice Address - Street 2:SUITE 350
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2100
Practice Address - Country:US
Practice Address - Phone:713-715-4800
Practice Address - Fax:713-715-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty