Individual
ROBERT S. PRUS
Active
Individual
ROBERT S. PRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G7460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041700
RAILROAD - MEDICARE
TX
05
—
125598602
—
TX
01
—
1732885
LA - MEDICAID
LA
01
—
84Y572
TX-BLUE SHIELD
—
Enumeration date
01/16/2007
Last updated
05/14/2008
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