RUDO P MADONDO-GWITIRA


Address: 4201 Palmer Dr, Mansfield, TX 76063-3432
Phone: 4692266283

RUDO P MADONDO-GWITIRA (NPI# 1396351474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396351474
Entity Type Individual
Full Name RUDO P MADONDO-GWITIRA
Practice Address 4201 Palmer Dr
Mansfield
TX 76063-3432
Practice Telephone 4692266283
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1014042 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 4201 PALMER DR
City MANSFIELD
State TX
Zip Code 76063-3432

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174937916 Kyle Ungvarsky Family Medicine 416 South Main Street, Mansfield, PA 16933 2014-06-19
1992143549 Philip U Ramirez Family Medicine 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 2013-06-05
1396066171 Jeffrey Urieto Family Medicine 1776 North Us 287, Suite 220, Mansfield, TX 76063 2010-06-16
1184882813 Doyle Fairchild Gallman Jr. Family Medicine 2360 Highway 157 N, Mansfield, TX 76063-7540 2008-05-29
1699958579 Pannaben H Nangha Family Medicine 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 2007-12-13
1992905376 Joseph M Kim Family Medicine 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 2007-07-23
1487861738 Erica L Sails Family Medicine 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 2007-05-17
1578618492 Doyle F Gallman Do Pa Family Medicine 2360 Fm 157 N, Mansfield, TX 76063-7540 2007-01-23
1689730996 Patricia Charlene Laurie Brock Family Medicine 1420 Parkside Dr, Mansfield, TX 76063-8618 2006-12-29
1245303221 Davis Family Practice Family Medicine 390 Marion Ave, Mansfield, OH 44903-2015 2006-11-16
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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