Organization
DR. BART PRUITT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B PRUITT DO (OWNER)
(903) 342-9800
Entity
Organization
Contact information
Practice address
719 W COKE RD, MOB 2, WINNSBORO, TX 75494-3060
(903) 342-9800
(903) 342-9809
Mailing address
PO BOX 12251, BELFAST, ME 04915-4013
(903) 342-9800
(903) 342-9809
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K3403
TX
Other
Enumeration date
04/14/2015
Last updated
05/07/2015
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