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Individual

DR. JOSEPH LEONARD TADVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 HICKORY ST, ABILENE, TX 79601-2333
(325) 670-4020
(325) 670-4029
Mailing address
1904 PINE ST, STE 4A, ABILENE, TX 79601-2450
(325) 437-4020
(325) 437-4029

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K5712
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K5712
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142674401
TX
Enumeration date
06/22/2005
Last updated
03/01/2019
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