James R Prukop, DDS is a
Dentist - General Practice based in George West, Texas. James R Prukop is licensed to practice in Texas (license number 34152) and his current practice location is
608 Travis Street, George West, Texas. He can be reached at his office (for appointments etc.) via phone at
(361) 447-1000.
NPI number for James R Prukop is 1952889115 and his current mailing address is Po Box 350, George West, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952889115.
Healthcare Provider's Profile
| Full Name | James R Prukop |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 608 Travis Street, George West, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952889115
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 04/14/2022
Medical Identifiers
Medical identifiers for James R Prukop such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952889115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 34152 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James R Prukop is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James R Prukop, DDS
Po Box 350,
George West, TX 78022-0350
Ph: (361) 447-1000 | James R Prukop, DDS
608 Travis Street,
George West, TX 78022
Ph: (361) 447-1000 |
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