Organization
PATIENTS COMPREHENSIVE DIAGNOSTIC & RADIATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A D'ANDREA M.D. (PHYSICIAN)
(281) 579-0061
Entity
Organization
Contact information
Practice address
4352 N JOSEY LN, CARROLLTON, TX 75010-4602
(281) 579-0061
(281) 579-0093
Mailing address
PO BOX 7907, PASADENA, TX 77508-7907
(281) 579-0061
(281) 579-0093
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210DC
BLUE CROSS
TX
05
—
149572301
—
TX
Enumeration date
06/04/2006
Last updated
04/02/2009
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