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NPI Code Detail

MEDICARE: RONALD MICHAEL PRINCE PA-C

MEDICARE: RONALD MICHAEL PRINCE PA-C
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
1363A00000XPhysician AssistantPA07288TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2280821405OTHERTXCSHCN

General Provider Information

NPI Number : 1699958033
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD MICHAEL PRINCE PA-C
Provider Business Mailing Address
First Line : 4400 LONG PRAIRIE RD
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-1892
Country : US
Telephone Number : 469-322-7481
Fax Number :
Provider Business Practice Location Address
First Line : 4400 LONG PRAIRIE RD
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-1892
Country : US
Telephone Number : 469-322-7481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2007
Last Update Date : 01/11/2022

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Directions to “ RONALD MICHAEL PRINCE PA-C” Practice Location

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