Active NPI
Patients Comprehensive Diagnostic & Radiation Center, Inc
- Radiation Oncology Clinic/Center
- Carrollton, TX
National Provider Identifier
1891733275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- PATIENTS COMPREHENSIVE DIAGNOSTIC & RADIATION CENTER, INC
- Practice address
- 4352 N Josey LN
Carrollton, TX 75010-4602 - Phone
- (281) 579-0061
- Fax
- (281) 579-0093
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A D'Andrea, M.D.
- Title
- Physician
- Phone
- (281) 579-0061
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Radiation Oncology Clinic/Center | 261QX0203X | Primary |
Addresses
Primary practice location
4352 N Josey LN
Carrollton, TX 75010-4602
Mailing address
PO Box 7907
Pasadena, TX 77508-7907
Phone (281) 579-0061
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210DC | Other | TX | BLUE CROSS |
| 149572301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1891733275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7907",
"city": "PASADENA",
"state": "TX",
"postal_code": "775087907",
"telephone_number": "281-579-0061",
"fax_number": "281-579-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104602",
"telephone_number": "281-579-0061",
"fax_number": "281-579-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS COMPREHENSIVE DIAGNOSTIC & RADIATION CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "D'ANDREA",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "281-579-0061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0210DC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149572301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.