Individual
DR. IRENE LUISA PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 HWY 37 S, MOUNT VERNON, TX 75457-6550
(903) 537-8222
(903) 537-8223
Mailing address
PO BOX 477, MOUNT VERNON, TX 75457-0477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F4587
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
F4587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127802006
—
TX
01
—
P00023453
MEDICARE RR
—
Enumeration date
06/25/2006
Last updated
06/10/2022
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