Patients Comprehensive Diagnostic & Radiation Center, Inc | |
4352 N Josey Ln Carrollton TX 75010-4602 | |
(281) 579-0061 | |
(281) 579-0093 |
Full Name | Patients Comprehensive Diagnostic & Radiation Center, Inc |
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Speciality | Clinic/center - Oncology, Radiation |
Location | 4352 N Josey Ln, Carrollton, Texas |
Authorized Official Name and Position | Mark A D'andrea (PHYSICIAN) |
Authorized Official Contact | 2815790061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patients Comprehensive Diagnostic & Radiation Center, Inc Po Box 7907 Pasadena TX 77508-7907 Ph: (281) 579-0061 | Patients Comprehensive Diagnostic & Radiation Center, Inc 4352 N Josey Ln Carrollton TX 75010-4602 Ph: (281) 579-0061 |
NPI Number | 1891733275 |
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Provider Enumeration Date | 06/04/2006 |
Last Update Date | 04/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891733275 | NPI | - | NPPES |
0210DC | Other | TX | BLUE CROSS |
149572301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QX0203X | Clinic/center - Oncology, Radiation | (* (Not Available)) | Primary |
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