Individual
MR. WARD M PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
914 FM 517 WEST, DICKINSON, TX 77539
(281) 337-1512
(281) 534-1472
Mailing address
914 FM 517 WEST, DICKINSON, TX 77539
(281) 337-1512
(281) 534-1472
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
PA01820
TX
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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