STEVEN MICHAEL PRUDENCIO

ODESSA, TX
NPI1811366545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP128729)
Enumeration Date2015-09-23
Last Update Date2017-02-08
Business Address
-- STEVEN MICHAEL PRUDENCIO FNP
315 GOLDER AVE SUITE C
ODESSA, TX 79761-5043
Phone number: 432-640-1963
Mailing Address
-- STEVEN MICHAEL PRUDENCIO FNP
PO BOX 2129
ODESSA, TX 79760-2129
Phone number: 432-640-1963
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