Pruitt, Brian T.

Pruitt, Brian T. is an individual health care provider with primary practice located at 1500 Wallace Blvd , Amarillo TX 79106-1794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Pruitt, Brian T. can be contacted via phone (806) 212-4673.

Contact Information

Primary practice address
1500 Wallace Blvd Amarillo TX 79106-1794
Phone: (806) 212-4673
Fax: (806) 352-8890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G1161 Texas

Profile Details

NPI number 1124047097
LBN Legal business name Pruitt, Brian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124047097 NPPES
Texas Other 269051YNR6 MEDICARE
Texas MEDICAID 137142911 MEDICARE

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