Individual
MR. CODY B PRICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2240 GULF FWY S FL 4, LEAGUE CITY, TX 77573-5143
(832) 505-1234
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265
(409) 772-0620
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136455
TX
Other
Enumeration date
02/06/2018
Last updated
09/19/2024
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