Individual provider · Type 1 NPI

Carolyn Jill Vandiver, MD

Diagnostic Radiology Physician · Desoto, TX

NPI number 1790733475 Active

Practice location

1750 North Hampton Road
Desoto, TX 75115-2306

Fax (214) 946-4399

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XK8548 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

8 other providers at this address

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About NPI 1790733475

Carolyn Jill Vandiver, MD's National Provider Identifier is 1790733475, issued on May 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Desoto, TX. The record was last updated on Mar 11, 2013.