Prudenico Avendanio Mdpa in Winnsboro - Diagnostic Radiology

Prudenico Avendanio Mdpa - NPI 1609821453

Prudenico Avendanio Mdpa is a Diagnostic Radiology in Winnsboro, Texas. Prudenico Avendanio Mdpa practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Prudenico Avendanio Mdpa is 1609821453. The last update date is 2008-04-20.

Prudenico Avendanio Mdpa's current location address is 719 W Coke Rd, Winnsboro, Texas. You can contact this provider via phone number 9033425227. The mailing address for Prudenico Avendanio Mdpa is 719 W Coke Rd, Winnsboro, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prudenico Avendanio Mdpa
Address 719 W Coke Rd, Winnsboro, Texas
Phone Number 9033425227
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Avendanio C Prudencio
Credentials MD
Telephone Number 9033420921

NPI Number Detail

NPI Number 1609821453
Provider Enumeration Date 2006-05-23
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 719 W Coke Rd
City Winnsboro
State Texas (TX)
Post Code 754943011
Phone Number 9033425227
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No F4745
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00JP90 TX BLUE CROSS
110999 SUPERIOR

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FAQs about Prudenico Avendanio Mdpa

What is the unique identifier code issued to Prudenico Avendanio Mdpa by the Centers for Medicare & Medicaid Services (CMS)?

The Prudenico Avendanio Mdpa has been assigned the NPI (National Provider Identifier) 1609821453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Prudenico Avendanio Mdpa located?

The Prudenico Avendanio Mdpa is located at 719 W Coke Rd, Winnsboro, TX 754943011.

What is the area of specialization for Prudenico Avendanio Mdpa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Prudenico Avendanio Mdpa is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

When did the Prudenico Avendanio Mdpa receive its 1609821453?

The Prudenico Avendanio Mdpa was issued its 1609821453 on 2006-05-23, which is the date when the organization was assigned this unique identifier.

When was the information regarding Prudenico Avendanio Mdpa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Prudenico Avendanio Mdpa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.

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