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1831687367
ROY PRUDEN
AUSTIN, TX
NPI
1831687367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX BP10063720)
Enumeration Date
2018-04-30
Last Update Date
2018-04-30
Business Address
ROY PRUDEN
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 512-324-0165
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Mailing Address
ROY PRUDEN
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 512-324-0165
Copy
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