PRUDENICO AVENDANIO MDPA
NPI 1609821453
Radiology - Diagnostic Radiology in Winnsboro, TX

Active since May 23, 2006
719 W COKE RD, WINNSBORO, TX 75494(903) 342-5227 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prudenico Avendanio Mdpa NPPES

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

PRUDENICO AVENDANIO MDPA (NPI 1609821453) is a healthcare organization registered as a diagnostic radiology in Winnsboro, Texas and active in the NPI registry since May 2006. The organization lists Prudencio C Avendanio, President, as its authorized official.

NPPES Registry Identity

NPI1609821453
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePRUDENICO AVENDANIO MDPA
Location Address719 W COKE RDWinnsboro, TX 75494-3011
Mailing AddressPo Box 8337Amarillo, TX 79114-8337 · (806) 355-6593 · Fax (806) 352-8774
Organization SubpartNo
Authorized OfficialPrudencio C AvendanioPresident · (903) 342-0921
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 20, 2008
NPI 1609821453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · F4745
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License F4745 (TX)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License F4745 (TX)
719 W COKE RD, Winnsboro, TX 75494

Other Identifiers 4

Other00JP90TX · Blue Cross
Other110999Superior
Medicare UPINE07987
Medicare ID-Type Unspecified00JP90

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
719 W COKE RD, PRESBYTERIAN HOSPITAL WINNSBORO
WINNSBORO, TX 75494
Emergency Medicine
719 W COKE RD
WINNSBORO, TX 75494
General Acute Care Hospital
719 W COKE RD
WINNSBORO, TX 75494
Nurse Practitioner
719 W COKE RD
WINNSBORO, TX 75494
Clinic/Center (Primary Care)
719 W COKE RD, MOB 2
WINNSBORO, TX 75494
Pediatrics
719 W COKE RD, SUITE 1
WINNSBORO, TX 75494
Internal Medicine
719 W COKE RD
WINNSBORO, TX 75494
Emergency Medicine
719 W COKE RD
WINNSBORO, TX 75494

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 Prudenico Avendanio Mdpa's NPI number?

The NPI number for Prudenico Avendanio Mdpa is 1609821453. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Prudenico Avendanio Mdpa located?

Prudenico Avendanio Mdpa is located at 719 W Coke Rd, Winnsboro, TX 75494. The listed phone number is (903) 342-5227.

What is Prudenico Avendanio Mdpa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Prudenico Avendanio Mdpa was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.