# PATIENTS COMPREHENSIVE DIAGNOSTIC & RADIATION CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891733275
- **Authorized official:** DR. MARK A D'ANDREA M.D. (PHYSICIAN)
- **Authorized official phone:** (281) 579-0061

## Contact information

- **Practice address:** 4352 N JOSEY LN, CARROLLTON, TX 75010-4602
- **Practice address phone:** (281) 579-0061
- **Practice address fax:** (281) 579-0093
- **Mailing address:** PO BOX 7907, PASADENA, TX 77508-7907
- **Mailing address phone:** (281) 579-0061
- **Mailing address fax:** (281) 579-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 04/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0210DC | BLUE CROSS | TX |
| 05 | — | 149572301 | — | TX |