person
Dr. Ivan Manuel Dequesada II, MD
Diagnostic Radiology Physician in Fort Worth, Texas
NPI 1780902593

Ivan Manuel Dequesada II is a Diagnostic Radiology Physician based in Fort Worth, TX and is specialized in Diagnostic Radiology. Ivan Manuel Dequesada II practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Ivan Manuel Dequesada II is 1780902593 and holds a License No. 004915 (Texas).

The current practice location address for Ivan Manuel Dequesada II is 815 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0300.

Location: 815 Pennsylvania Ave, Fort Worth, TX, 76104-2224
person
Provider Profile Details
NPI Number
1780902593
Provider Name
Ivan Manuel Dequesada II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Pennsylvania Ave, Fort Worth, TX, 76104-2224
Phone Number
817-321-0300
Fax Number
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0300
Fax Number
person
Provider Business Mailing Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
004915 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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