Organization Active NPI

Patients Comprehensive Diagnostic & Radiation Center, Inc

  • Radiation Oncology Clinic/Center
  • Carrollton, TX
National Provider Identifier
1891733275
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
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

Updated by the provider on Apr 2, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0210DCOtherTXBLUE CROSS
149572301MedicaidTX

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.