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General NPI Number Information
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NPI Number | 1477516060
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Entity Type | Organization
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Legal Business Name | ALTON R. PRIHODA, M.D., P.A.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4201 GARTH RD SUITE #318
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City | BAYTOWN
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State | TX
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Zip | 77521-3167
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Country | US
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Telephone | 281-427-5223
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Fax | 281-422-3873
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Provider Business Mailing Address
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Address Line | 4201 GARTH RD SUITE #318
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City | BAYTOWN
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State | TX
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Zip | 77521-3167
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Country | US
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Telephone | 281-427-5223
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Fax | 281-422-3873
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. ALTON R. PRIHODA
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Credential | M.D.
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Telephone | 281-427-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | F9976
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License Number State | TX
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