| NPI | 1699046854 |
|---|---|
| Professional Name | MATTHEW PRAZAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 710517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16428) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2016-02-29 |