# MODENA HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MediCall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669919890
- **Authorized official:** MR. ANDRE GEORGES PLASKOTA (PRESIDENT)
- **Authorized official phone:** (214) 789-0361

## Contact information

- **Practice address:** 1401 CRESTVIEW LN, MANSFIELD, TX 76063-5543
- **Practice address phone:** (817) 477-0942
- **Practice address fax:** (817) 477-4967
- **Mailing address:** PO BOX 173247, ARLINGTON, TX 76003-3247
- **Mailing address phone:** (817) 477-0942
- **Mailing address fax:** (817) 477-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 01/26/2017