Jon Davis Pruett is a Dermatology in Dallas, Texas. Jon Davis Pruett practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jon Davis Pruett is 1023071933. The last update date is 2022-02-17.
Jon Davis Pruett's current location address is 8201 Preston Rd Ste 440, Dallas, Texas. You can contact this provider via phone number 2146753227. The mailing address for Jon Davis Pruett is 8201 Preston Rd Ste 440, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Davis Pruett |
|---|---|
| Address | 8201 Preston Rd Ste 440, Dallas, Texas |
| Phone Number | 2146753227 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023071933 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2022-02-17 |
Provider Mailing Address Detail
| Address | 8201 Preston Rd Ste 440 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752256209 |
| Phone Number | 2146753227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | MD.15367R |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AG440 | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jon Davis Pruett?
The Jon Davis Pruett has been issued the NPI (National Provider Identifier) 1023071933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jon Davis Pruett?
The Jon Davis Pruett is situated at 8201 Preston Rd Ste 440, in the city of Dallas, state of TX, with the zip code 752256209.
What is Jon Davis Pruett's area of expertise and its corresponding taxonomy classification?
The Jon Davis Pruett's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jon Davis Pruett receive its 1023071933 assignment from the Centers for Medicare & Medicaid Services?
The Jon Davis Pruett was assigned its 1023071933 by the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the Jon Davis Pruett's information last updated?
The Jon Davis Pruett's information was last updated on 2022-02-17.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC