Brian T. Pruitt
Medical Oncology
1500 Wallace Blvd
Amarillo
, Texas 79106-1794
Brian T. Pruitt
Medical Oncology
1500 Wallace Blvd
Amarillo
, Texas 79106-1794
(806) 352-8890
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Brian T. Pruitt
- Po Box 840048
- Dallas, TX
- Zip : 75284-0048
- Fax : (806) 352-8890
- Phone : (806) 212-4673
Second Address
- Brian T. Pruitt
- 1500 Wallace Blvd
- Amarillo, TX
- Zip : 79106-1794
- Fax : (806) 352-8890
- Phone : (806) 212-4673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | G1161 | TX |
National Provider Identifier
| NPI | 1124047097 |
|---|---|
| Provider Name | Brian T. Pruitt |
| First Address | Dallas, TX 75284-0048 |
| Second Address | Amarillo, TX 79106-1794 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 28/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 137142911 | (05) | TX |
| 269051YNR6 | MEDICARE (01) | TX |
| B25670 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.