Individual
JONATHAN WILLIAM PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 BEE CAVES RD STE 203, ROLLINGWOOD, TX 78746-5868
(512) 328-7222
Mailing address
2700 BEE CAVES RD STE 203, ROLLINGWOOD, TX 78746-5868
(512) 328-7222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134536
TX
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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