Individual
DR. JOSEPH LYNN PRUD'HOMME SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 E IDEL ST, TYLER, TX 75701-2025
(903) 592-8301
(903) 592-7646
Mailing address
1015 E IDEL ST, TYLER, TX 75701-2025
(903) 592-8301
(903) 592-7646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0261
TX
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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