Individual
DR. PRASHANT KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 GASLIGHT BLVD, LUFKIN, TX 75904-3132
(936) 634-2227
(936) 634-4658
Mailing address
PO BOX 150408, LUFKIN, TX 75915-0408
(936) 634-2227
(936) 634-4658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M2885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041AH
MEDICARE PTAN
TX
Enumeration date
07/03/2006
Last updated
03/17/2011
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