Individual
CHARLES PRYZANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5925 FOREST LANE, SUITE 417, DALLAS, TX 75230-2712
(972) 661-8739
(972) 661-8739
Mailing address
5925 FOREST LN, SUITE 417, DALLAS, TX 75230-2712
(972) 661-8739
(972) 661-8739
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
L3075
TX
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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