Organization
MODENA HOLDINGS, LLC
Active
Other names
MediCall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE GEORGES PLASKOTA (PRESIDENT)
(214) 789-0361
Entity
Organization
Contact information
Practice address
1401 CRESTVIEW LN, MANSFIELD, TX 76063-5543
(817) 477-0942
(817) 477-4967
Mailing address
PO BOX 173247, ARLINGTON, TX 76003-3247
(817) 477-0942
(817) 477-4967
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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