Bart Pruitt Do

NPI 1073959102 - Clinic/Center - 261QP2300X

NPI Details
NPI 1073959102
Enumeration Date 05/15/2013
Last Updated 05/07/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BART BART
Position OWNER
Phone (903) 342-9800
Fax (903) 342-9809
Practice Location
719 W COKE RD
MOB 2
WINNSBORO TX, 75494-3060, US
Phone (903) 342-9800
Fax (903) 342-9809
Business Location
PO BOX 12251
BELFAST ME, 04915-4013, US
Phone (903) 342-9800
Fax (903) 342-9809
Toxanomy
Taxonomy Code 261QP2300X
License State Texas
License Number K3403
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According to our database, Bart Pruitt Do NPI is 1073959102, taxonomy code is 261QP2300X and license number is K3403, license state is located at Texas. Bart Pruitt Do physically located at 719 W Coke Rd, Winnsboro TX, 75494-3060. NPI Number 1033115704 has the healthcare provider type.

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1073959102 NPI number is provided on an as is basis without warranty of any kind. 1073959102 is maintained by the National Plan & Provider Enumeration System. The contents of Bart Pruitt Do are for informational purposes only.