Provider Demographics
NPI:1629215249
Name:KANDID IMAGING, P.A.
Entity type:Organization
Organization Name:KANDID IMAGING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KANDACE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-316-4448
Mailing Address - Street 1:4320 WINDSOR CENTRE TRAIL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1557
Mailing Address - Country:US
Mailing Address - Phone:972-316-4448
Mailing Address - Fax:
Practice Address - Street 1:4320 WINDSOR CENTRE TRAIL
Practice Address - Street 2:SUITE 300
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1557
Practice Address - Country:US
Practice Address - Phone:972-316-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty