Organization
PRODIGY CARE SERVICES LLC
Active
Other names
Prodigy Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NORKETT (CHIEF OPERATING OFFICER)
(972) 800-7674
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(713) 322-6667
Mailing address
PO BOX 3161, MILWAUKEE, WI 53201-3161
(713) 322-6667
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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