DAVID STEPHEN PRUDHOME

TYLER, TX
NPI1437494879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  733431)
Enumeration Date2012-12-11
Last Update Date2015-06-15
Business Address
-- DAVID STEPHEN PRUDHOME CRNA
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-597-0351
Mailing Address
-- DAVID STEPHEN PRUDHOME CRNA
1000 S BECKHAM AVE
TYLER, TX 75701-1908
Phone number: 903-597-0351
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