Organization
PROSPECT PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORENA ELURI AGPCNP-BC (MANAGING MEMBER)
(945) 333-5481
Entity
Organization
Contact information
Practice address
670 W ARAPAHO RD STE 4, RICHARDSON, TX 75080-4213
(945) 333-5481
Mailing address
PO BOX 6564, MCKINNEY, TX 75071-5115
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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