Individual
MR. PATRICK PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A/ACNP-BC
Contact information
Practice address
746 ALPINE DR, KERRVILLE, TX 78028-2502
(830) 896-2323
Mailing address
113 PLEASANT VALLEY DR, STE 210, BOERNE, TX 78006-5683
(830) 267-4575
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP128782
TX
Other
Enumeration date
08/18/2015
Last updated
12/29/2016
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