# J LEONARD TADVICK MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619277852
- **Authorized official:** JOSEPH LEONARD TADVICK M.D. (PRESIDENT)
- **Authorized official phone:** (325) 670-4021

## Contact information

- **Practice address:** 1210 N 18TH ST, ABILENE, TX 79601-2933
- **Practice address phone:** (325) 670-4021
- **Mailing address:** 1210 N 18TH ST, ABILENE, TX 79601-2933
- **Mailing address phone:** (325) 670-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K5712 | TX | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 10/21/2010