Individual
CLIFF PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-1003
(214) 648-3433
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018017138
MO
207RC0000X
Cardiovascular Disease Physician
Primary
V0120
TX
Other
Enumeration date
06/21/2018
Last updated
06/07/2024
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