Individual
DR. ALFONSO M PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5913 PATTON ST, CORPUS CHRISTI, TX 78414-2429
(361) 653-6361
(361) 653-6371
Mailing address
5913 PATTON, CORPUS CHRISTI, TX 78414-2931
(361) 653-6361
(361) 653-6371
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
E3752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115994902
—
TX
01
—
741988939
TAX IDENTIFICATION NUMBER
TX
Enumeration date
03/24/2006
Last updated
02/18/2014
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