Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | N2738 | TX |
NPI | 1396906673 |
---|---|
Provider Name | Dr. Nara Prapan Pravat |
First Address | Dallas, TX 75230-3104 |
Second Address | Dallas, TX 75247-4973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 17/04/2021 |