# COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Integrated Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902644594
- **Authorized official:** JOEL R. RAINWATER (CMO)
- **Authorized official phone:** (480) 374-7354

## Contact information

- **Practice address:** 6301 S MCCLINTOCK DR STE 115, TEMPE, AZ 85283-3393
- **Practice address phone:** (480) 775-8460
- **Mailing address:** PO BOX 208313, DALLAS, TX 75320-8313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/17/2024