MEDICARE: JOSH PRICKETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	K7373	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86345G	OTHER	TX	BCBS THRU HEB
3	930077830	OTHER	TX	RAILROAD MCARE THRU HEB

General Provider Information

NPI Number	:	1265408033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSH PRICKETT MD

Provider Business Mailing Address
First Line	:	8950 N TARRANT PKWY
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8465
Country	:	US
Telephone Number	:	817-281-7277
Fax Number	:	817-514-4295

Provider Business Practice Location Address
First Line	:	8950 N TARRANT PKWY
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8465
Country	:	US
Telephone Number	:	817-281-7277
Fax Number	:	817-514-4295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/09/2013

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Directions to “ JOSH PRICKETT MD” Practice Location

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