Individual
MARY ELIZABETH PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 BANDERA HWY STE 2, KERRVILLE, TX 78028-9535
(830) 258-6237
(830) 895-7757
Mailing address
PO BOX 2421, BOERNE, TX 78006-1400
(830) 214-7012
(830) 331-2475
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K2778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140822103
—
TX
Enumeration date
08/25/2006
Last updated
03/07/2023
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