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ARVIN PENACERRADA
NPI 1477174993
Radiology - Diagnostic Ultrasound in Shenandoah, TX

Active since May 06, 2020
111 VISION PARK BLVD STE 250, SHENANDOAH, TX 77384(469) 909-2511 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Arvin Penacerrada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARVIN PENACERRADA (NPI 1477174993) is an individual diagnostic ultrasound provider in Shenandoah, Texas, licensed in Maryland (170495) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1477174993
Entity TypeIndividualMale
Primary Taxonomy2085U0001X
Provider Legal NameARVIN PENACERRADA
Location Address111 VISION PARK BLVD STE 250Shenandoah, TX 77384-3004
Mailing Address4115 Louetta Rd Apt 4303Spring, TX 77388-4879
Phone(469) 909-2511
Sole ProprietorYes
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1477174993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License✔ Licensed in MD · 170495
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
111 VISION PARK BLVD STE 250, Shenandoah, TX 77384
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Other Identifiers 1

Other170495Ardms

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arvin Penacerrada's NPI number?

The NPI number for Arvin Penacerrada is 1477174993. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Arvin Penacerrada located?

Arvin Penacerrada practices at 111 Vision Park Blvd Ste 250, Shenandoah, TX 77384. The listed phone number is (469) 909-2511.

What is Arvin Penacerrada's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

When was this NPI record last updated?

The NPPES record for Arvin Penacerrada was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.