CHARLOTTE B VDOVYCHENKO NPI 1689829418

NPI Information

  • NPI: 1689829418
  • Provider Name: CHARLOTTE B VDOVYCHENKO
  • Classification: Technician, Pathology - 246RM2200X
  • Specialization: Medical Laboratory
  • Entity Type: Individual
  • Address: 2801 BRAZOS BLVD
    APT 4309
    EULESS, TX
    ZIP 76039
  • Phone: (817) 915-1800

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NPI Details

Charlotte B Vdovychenko is a medical laboratory technician pathology in Euless, TX. Charlotte B Vdovychenko NPI is 1689829418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2801 BRAZOS BLVD
APT 4309
EULESS, TX
ZIP 76039-435
Phone: (817) 915-1800
Fax: (682) 503-6649

The enumeration date for this NPI number is 11/20/2008 and was last updated on 2/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RM2200XTechnician, PathologyMedical Laboratory4075WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689829418OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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