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	174400000X	Specialist

General Provider Information

NPI Number	:	1669417713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSTATE SEED INSTITUTE

Provider Business Mailing Address
First Line	:	7415 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
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	:	75063-7561
Country	:	US
Telephone Number	:	214-379-2700
Fax Number	:	214-379-2750

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	10/24/2007

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Directions to “PROSTATE SEED INSTITUTE ” Practice Location

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