Organization
COMPASS VISTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CANDELARIO (DIRECTOR OF OPERATIONS)
(512) 535-0322
Entity
Organization
Contact information
Practice address
611 STAPLES RD, SAN MARCOS, TX 78666-1426
(512) 535-0322
(512) 535-6002
Mailing address
611 STAPLES RD, SAN MARCOS, TX 78666-1426
(512) 535-0322
(512) 535-6002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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