PETER J PROKELL

FORT WORTH, TX
NPI1962464958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: TX  K5382)
Additional Taxonomies2085B0100X Radiology Body Imaging
(Licence: TX  K5382)
2085U0001X Radiology Diagnostic Ultrasound
(Licence: TX  K5382)
2085N0700X Radiology Neuroradiology
(Licence: TX  K5382)
Enumeration Date2006-04-05
Last Update Date2012-08-15
Business Address
PETER J PROKELL MD
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0312
Mailing Address
PETER J PROKELL MD
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0312