MEDICARE: PROSTATE SEED INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235112210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSTATE SEED INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 650772
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0772
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	214-379-2750

Provider Business Practice Location Address
First Line	:	7415 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7568
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	214-379-2750

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GREGORY A ECHT
Credential	:	MD
Telephone Number	:	214-379-2700

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	10/23/2007

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Directions to “PROSTATE SEED INSTITUTE ” Practice Location

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