Prudenico Avendanio Mdpa in Winnsboro - Diagnostic Ultrasound
Prudenico Avendanio Mdpa - NPI 1609821453
Prudenico Avendanio Mdpa is a Diagnostic Ultrasound in Winnsboro, Texas. Prudenico Avendanio Mdpa practices all healthcare services and medical treatments related to Diagnostic Ultrasound. 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 |
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Address | 719 W Coke Rd, Winnsboro, Texas |
Phone Number | 9033425227 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Avendanio C Prudencio |
Credentials | MD |
Telephone Number | 9033420921 |
NPI Number Detail
NPI Number | 1609821453 |
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Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | 719 W Coke Rd |
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City | Winnsboro |
State | Texas (TX) |
Post Code | 754943011 |
Phone Number | 9033425227 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Ultrasound |
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Taxonomy | 2085U0001X |
Licence No | F4745 |
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00JP90 | TX | BLUE CROSS | |
110999 | SUPERIOR |
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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 Ultrasound, and the corresponding taxonomy code that categorizes this area of expertise is 2085U0001X.
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.