Michelle Antoinette Pruett in Austin - Physician Assistant
Michelle Antoinette Pruett - NPI 1538147533
Michelle Antoinette Pruett is a Physician Assistant in Austin, Texas. Michelle Antoinette Pruett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle Antoinette Pruett is 1538147533. The last update date is 2014-02-11.
Michelle Antoinette Pruett's current location address is 5625 Eiger Rd, Austin, Texas. You can contact this provider via phone number 5128927076 and fax number 5128998460. The mailing address for Michelle Antoinette Pruett is 5625 Eiger Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Antoinette Pruett |
|---|---|
| Address | 5625 Eiger Rd, Austin, Texas |
| Phone Number | 5128927076 |
| Fax Number | 5128998460 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1538147533 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2014-02-11 |
Provider Mailing Address Detail
| Address | 5625 Eiger Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787358976 |
| Phone Number | 5128927076 |
| Fax Number | 5128998460 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03096 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1050570 | NATL COMMISSION PA CERTIF |
Post Comment/ Review Below
Could you please share the complete physical location address where Michelle Antoinette Pruett's facilities are situated?
The facilities of Michelle Antoinette Pruett are physically located at the following address: 5625 Eiger Rd, Austin, TX, 787358976.
What is Michelle Antoinette Pruett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle Antoinette Pruett's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Michelle Antoinette Pruett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michelle Antoinette Pruett is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1538147533 assigned to Michelle Antoinette Pruett?
The Michelle Antoinette Pruett was issued its 1538147533 on 2006-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michelle Antoinette Pruett most recently updated?
The details pertaining to the Michelle Antoinette Pruett, including its address, specialty, and other relevant information, were last refreshed on 2014-02-11.