Individual
MR. DENNIS EDWARD PRUSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4601 S LOOP 289, LUBBOCK, TX 79424-2206
(806) 792-7200
(806) 792-7225
Mailing address
8605 OXFORD AVE, LUBBOCK, TX 79423-1925
(806) 783-8605
(806) 783-8604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0459
TX
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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