Pruneda, Joe M

Pruneda, Joe M is an individual health care provider with primary practice located at 575 Hill Country Dr Ste 101 , Kerrville TX 78028-6024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pruneda, Joe M can be contacted via phone (830) 258-7828.

Contact Information

Primary practice address
575 Hill Country Dr Ste 101 Kerrville TX 78028-6024
Phone: (830) 258-7828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H5823 Texas

Profile Details

NPI number 1306819602
LBN Legal business name Pruneda, Joe M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 8th, 2023 - about 3 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 1306819602 NPPES
Texas MEDICAID 140101025

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