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Organization
PAT PRYOR M D P A
Active
Organization
PAT PRYOR M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL PRYOR (OFFICE MANAGER)
(254) 776-6426
Entity
Organization
Contact information
Practice address
7100 OLD MCGREGOR RD, WACO, TX 76712-6120
(254) 776-6426
(254) 776-7413
Mailing address
7100 OLD MCGREGOR RD, WACO, TX 76712-6120
(254) 776-6426
(254) 776-7413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R850
BLUE CROSS BLUE SHIELD
TX
05
—
115854503
—
TX
01
—
121854100
FIRSTCARE
TX
01
—
95209
SCOTT & WHITE
TX
Enumeration date
07/28/2011
Last updated
07/28/2011
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