Organization
ROBERT PRANGLE DOPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E PRANGLE DO (OWNER)
(281) 481-4111
Entity
Organization
Contact information
Practice address
13310 BEAMER RD, SUITE G, HOUSTON, TX 77089-6045
(281) 481-4111
(281) 481-0111
Mailing address
13310 BEAMER RD, SUITE G, HOUSTON, TX 77089-6045
(281) 481-4111
(281) 481-0111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D97636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00M971
BLUE CROSS BLUE SHIELD
TX
01
—
390365
WELLCARE
TX
Enumeration date
07/09/2008
Last updated
07/09/2008
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