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Individual

MR. KIRK EDWARD PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(409) 356-5369
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
(713) 779-9813

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00048
TX
246ZS0410X
Surgical Technologist
SA00048
TX

Other

Enumeration date
02/09/2007
Last updated
01/22/2014
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