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Arvin Penacerrada
Diagnostic Ultrasound Physician in Shenandoah, Texas
NPI 1477174993

Arvin Penacerrada is a Diagnostic Ultrasound Physician based in Spring, TX and is specialized in Diagnostic Ultrasound. Arvin Penacerrada practices in Shenandoah, TX. The NPI Number for Arvin Penacerrada is 1477174993 and holds a License No. 170495 (Texas).

The current practice location address for Arvin Penacerrada is 111 Vision Park Blvd Ste 250, Shenandoah, TX and can be reached out via phone at 469-909-2511.

Location: 111 Vision Park Blvd Ste 250, Shenandoah, TX, 77388-4879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477174993
Provider Name
Arvin Penacerrada
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Vision Park Blvd Ste 250, Shenandoah, TX, 77388-4879
Phone Number
469-909-2511
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170495 01 ARDMS
institution
Provider Business Practice Location Address Details
Address
111 Vision Park Blvd Ste 250
City
Shenandoah
State
Texas
Zip
77384-3004
Phone Number
469-909-2511
Fax Number
person
Provider Business Mailing Address Details
Address
111 Vision Park Blvd Ste 250
City
Shenandoah
State
Texas
Zip
77384-3004
Phone Number
469-909-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
170495 (Maryland)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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