Individual
DR. ENAS L PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E WHITESTONE BLVD STE B, CEDAR PARK, TX 78613-9040
(512) 259-3467
(512) 406-7303
Mailing address
4515 SETON CENTER PKWY, SUITE 215 CREDENTIALING, AUSTIN, TX 78759-5290
(512) 231-5548
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208669603
—
TX
05
—
208669604
—
TX
05
—
208669605
—
TX
01
—
208669608
ARC MEDICAID ROT
TX
01
—
208669609
ARC MEDICAID TRAVIS
TX
01
—
334450YKXV
MEDICARE TRAVIS COUNTY
TX
01
—
334450YKXY
MEDICARE WILLIAMSON COUNTY
TX
01
—
8CN866
BCBS
TX
Enumeration date
11/07/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us