DONNA MARIE PROKOP-FETTIG

ROUND ROCK, TX
NPI1013153147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA06103)
Enumeration Date2008-12-18
Last Update Date2009-09-14
Business Address
-- DONNA MARIE PROKOP-FETTIG P.A.-C
1201 SAM BASS RD
ROUND ROCK, TX 78681-4137
Phone number: 512-388-1861
Mailing Address
-- DONNA MARIE PROKOP-FETTIG P.A.-C
PO BOX 268945
OKLAHOMA CITY, OK 73126-8945
Phone number: 512-388-1861
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