Prudenico Avendanio Mdpa
Prudenico Avendanio Mdpa provides Diagnostic Radiology Physician services in Winnsboro, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
719 W Coke RdWinnsboro, TX 75494-3011 Not confirmed with CMS for 18 years — call before visiting
Phone: (903) 342-5227
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence F4745 (TX) |
|---|---|
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence F4745 (TX) |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence F4745 (TX) |
Record details
| NPI number | 1609821453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Prudencio Avendanio — President · (903) 342-0921 |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | Po Box 8337, Amarillo, TX 79114-8337 |