Individual
JOE M PRUNEDA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 HILL COUNTRY DR STE 101, KERRVILLE, TX 78028-6024
(830) 258-7828
Mailing address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H5823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140101025
—
TX
Enumeration date
02/08/2006
Last updated
08/08/2023
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