BART PRUITT DO NPI 1073959102

NPI Information

NPI: 1073959102
Provider Name: BART PRUITT DO

Other Name: DR BART PRUITT

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
719 W COKE RD
MOB 2
WINNSBORO, TX
ZIP 75494
Phone: (903) 342-9800
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BART PRUITT DO is a primary care clinic center in Winnsboro, TX. BART PRUITT DO NPI is 1073959102. The provider is registered as an organization entity type.
The provider Other Name Is Dr Bart Pruitt.

The provider's business location address is:

719 W COKE RD
MOB 2
WINNSBORO, TX
ZIP 75494-060
Phone: (903) 342-9800
Fax: (903) 342-9809

The provider's authorized official is Bart Pruitt .
The authorized official title is Owner and has the following contact phone number (903) 342-9800.

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	K3403	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	320276	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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