Pruett, Jon Davis

Pruett, Jon Davis is an individual health care provider with primary practice located at 8201 Preston Rd Ste 440 , Dallas TX 75225-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pruett, Jon Davis can be contacted via phone (214) 675-3227.

Contact Information

Primary practice address
8201 Preston Rd Ste 440 Dallas TX 75225-6209
Phone: (214) 675-3227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD.15367R Louisiana

Profile Details

NPI number 1023071933
LBN Legal business name Pruett, Jon Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 17th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023071933 NPPES
Texas Other 8AG440 BCBS

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