Pruitt, Tatesha M

Pruitt, Tatesha M is an sole proprietor health care provider with primary practice located at 1655 Ne Loop 286 , Paris TX 75460-2219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pruitt, Tatesha M can be contacted via phone (903) 739-9191.

Contact Information

Primary practice address
1655 Ne Loop 286 Paris TX 75460-2219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05638 Texas

Profile Details

NPI number 1487815809
LBN Legal business name Pruitt, Tatesha M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 18 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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