Individual
CLARENCE H PRIHODA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 E WASHINGTON AVE, NAVASOTA, TX 77868-3001
(936) 825-6444
(936) 825-3340
Mailing address
501 E WASHINGTON AVE, NAVASOTA, TX 77868-3001
(936) 825-6444
(936) 825-3340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G4684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G4684
PHYSICIAN PERMIT
TX
Enumeration date
08/17/2005
Last updated
01/31/2008
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