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Prudenico Avendanio Mdpa
Diagnostic Ultrasound Physician in Winnsboro, Texas
NPI 1609821453

Prudenico Avendanio Mdpa is a Diagnostic Ultrasound Physician based in Amarillo, TX and is specialized in Diagnostic Ultrasound. Prudenico Avendanio Mdpa practices in Winnsboro, TX. The NPI Number for Prudenico Avendanio Mdpa is 1609821453 and holds a License No. F4745 (Texas).

The current practice location address for Prudenico Avendanio Mdpa is 719 W Coke Rd, Winnsboro, TX and can be reached out via phone at 903-342-5227.

Location: 719 W Coke Rd, Winnsboro, TX, 79114-8337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609821453
Provider Name
Prudenico Avendanio Mdpa
Credential
Provider Entity Type
Organization
Address
719 W Coke Rd, Winnsboro, TX, 79114-8337
Phone Number
903-342-5227
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00JP90 01 TX BLUE CROSS
110999 01 SUPERIOR
institution
Provider Business Practice Location Address Details
Address
719 W Coke Rd
City
Winnsboro
State
Texas
Zip
75494-3011
Phone Number
903-342-5227
Fax Number
person
Provider Business Mailing Address Details
Address
719 W Coke Rd
City
Winnsboro
State
Texas
Zip
75494-3011
Phone Number
903-342-5227
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
F4745 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
F4745 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
F4745 (Texas)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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