Individual
MR. MICHAEL MATTHEW PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9700
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810N00
BCBS TX
TX
Enumeration date
11/17/2009
Last updated
05/16/2019
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