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FOUR SEASONS BREAST FOUNDATION NPI 1770756660


NPI Information

NPI: 1770756660
Provider Name: FOUR SEASONS BREAST FOUNDATION
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
4400 S PIEDRAS DR STE 200
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 918-8510
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FOUR SEASONS BREAST FOUNDATION is a radiology and mammography clinic center in San Antonio, TX. FOUR SEASONS BREAST FOUNDATION NPI is 1770756660. The provider is registered as an organization entity type.

The provider's business location address is:

4400 S PIEDRAS DR STE 200
SAN ANTONIO, TX
ZIP 78228-223
Phone: (210) 918-8510

The provider's authorized official is Diane M Icenogle .
The authorized official title is President and has the following contact phone number (210) 918-8510.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 4/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0206XClinic/CenterRadiology, MammographyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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