Individual
FRED DAVID PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 VENICE CT, SAN ANTONIO, TX 78257-1310
(210) 698-9773
Mailing address
7 VENICE CT, SAN ANTONIO, TX 78257-1310
(210) 698-9773
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E4607
TX
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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