Organization
WEST VALLEY RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DECANDIA M.D. (OWNER)
(956) 581-0303
Entity
Organization
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 581-0303
Mailing address
2121 E GRIFFIN PKWY, #12, MISSION, TX 78572-3241
(956) 581-0303
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0004
MEDICARE RAILROAD GRP
TX
01
—
P00141786
MEDICARE RAILROAD INDV
TX
Enumeration date
08/30/2006
Last updated
11/02/2007
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