MEDICARE: BRACHYTHERAPY INSTITUTE OF NORTH TEXAS, LP

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	174400000X	Specialist

General Provider Information

NPI Number	:	1659563567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRACHYTHERAPY INSTITUTE OF NORTH TEXAS, LP

Provider Business Mailing Address
First Line	:	7415 LAS COLINAS BLVD STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7569
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	314-379-2750

Provider Business Practice Location Address
First Line	:	7415 LAS COLINAS BLVD
Second Line	:	100
City	:	IRVING
State	:	TX
Zip	:	75063-7568
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	314-379-2750

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

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	09/24/2009

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