Complete Mobile Diagnostics, PA

NPI #1023045374 in Rowlett, Texas

Provider Information

NPI Number: 1023045374
Entity Type: Organization
Organization Name: Complete Mobile Diagnostics, PA
Primary Specialty: Specialist
Enumeration Date: Jun 26, 2006
Last Updated: Aug 28, 2015

Practice Location

Address: 4302 RUNNING BROOK DR
City: Rowlett
State: Texas
ZIP Code: 75088-9256
Phone: (972) 475-6683

Authorized Official

Name: EDIC STEPHANIAN, M.D.
Title: PRESIDENT
Phone: (972) 475-6683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Specialist	174400000X	Primary

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