| NPI | 1366630972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DECANDIA Owner 956-581-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K3152) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX K3152) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2014-10-07 |