| Pruna Family Medicine Pllc | |
|
13140 Coit Rd Ste 312 Dallas TX 75240-5703 | |
| (972) 598-0270 | |
| (972) 598-0272 |
| Full Name | Pruna Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13140 Coit Rd Ste 312, Dallas, Texas |
| Authorized Official Name and Position | Ernesto Pruna (MEDICAL DOCTOR/PHYSICIAN) |
| Authorized Official Contact | 9725980270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pruna Family Medicine Pllc 13140 Coit Rd Ste 312 Dallas TX 75240-5703 Ph: (972) 598-0270 | Pruna Family Medicine Pllc 13140 Coit Rd Ste 312 Dallas TX 75240-5703 Ph: (972) 598-0270 |
| NPI Number | 1992299457 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 7810241734 |
|---|---|
| Medicare Enrollment ID | O20190524000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992299457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7330 (Texas) | Primary |
| Provider Name | Ernesto Pruna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932305828 PECOS PAC ID: 8325173164 Enrollment ID: I20110124000893 |
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