Individual
BARRY B PRESTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 767-9301
Mailing address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 767-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D8387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122966801
—
TX
Enumeration date
08/26/2005
Last updated
02/09/2015
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