Individual
FIONA R. PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, SUITE 1C143, LUBBOCK, TX 79430-8143
(806) 743-2757
(806) 743-2563
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008000A
—
OK
01
—
121753100
FIRSTCARE COMMERCIAL
TX
05
—
121753103
—
TX
05
—
124998901
—
TX
05
—
124998903
—
TX
01
—
82830Z
HMO BLUE
TX
01
—
86797
PRESBYTERIAN COMMERCIAL
NM
05
—
86797
—
NM
01
—
87811G
BCBS
TX
01
—
A002
TRIWEST
NM
05
—
P3642
—
NM
Enumeration date
08/16/2005
Last updated
01/10/2020
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