Tadvick, Joseph Leonard

Tadvick, Joseph Leonard is an individual health care provider with primary practice located at 1801 Hickory St , Abilene TX 79601-2333. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Tadvick, Joseph Leonard can be contacted via phone (325) 670-4020.

Contact Information

Primary practice address
1801 Hickory St Abilene TX 79601-2333
Phone: (325) 670-4020
Fax: (325) 670-4029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K5712 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K5712 Texas

Profile Details

NPI number 1205832524
LBN Legal business name Tadvick, Joseph Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205832524 NPPES
Texas MEDICAID 142674401

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