Prudhome, David Stephen

Prudhome, David Stephen is an individual health care provider with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Prudhome, David Stephen can be contacted via phone (903) 597-0351.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 597-0351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 733431 Texas

Profile Details

NPI number 1437494879
LBN Legal business name Prudhome, David Stephen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated Jun 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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