Individual
DR. HENRY M PROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7141 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6240
(817) 793-3422
(817) 410-9963
Mailing address
7141 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6240
(817) 793-3422
(817) 251-8654
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K8967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8845B0
PTAN
TX
Enumeration date
07/02/2006
Last updated
01/07/2014
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