Individual
DR. ALVIN HUBERT PRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 HARRISON ST, SUITE 220, BEAUMONT, TX 77702-1100
(409) 892-7111
(409) 898-4104
Mailing address
6895 SHANAHAN DR, BEAUMONT, TX 77706-4122
(409) 866-8494
(409) 898-4104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136228706
—
TX
Enumeration date
03/27/2006
Last updated
01/23/2012
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