Individual
DR. MIKE PRINKEY JOLLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 BURNET RD, DEPT OF ANESTHESIOLOGY, BROWNWOOD, TX 76801-8520
(325) 649-2070
(325) 649-3960
Mailing address
1501 BURNET RD, BROWNWOOD, TX 76801-8520
(325) 649-2070
(325) 649-3960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163968401
—
TX
05
—
163968402
—
TX
01
—
8V0639
BCBSTX
TX
Enumeration date
06/13/2006
Last updated
03/28/2014
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