Dr. Roger Devern Pruitt
D.O. | Pediatrics | Male
Dr. Roger Devern Pruitt, D.O. is a Wimberley, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Roger Devern Pruitt is
180 Joe Wimberley Blvd, Ste 102, Wimberley, Texas - 78676-6083. He can be contacted on phone at
512-847-7700 and fax number 512-847-7701.
Dr. Roger Devern Pruitt is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Roger Devern Pruitt is
1932104353 which was assigned by NPPES on 14 Jun, 2005 and it was last updated on 09 Feb, 2022.
Dr. Roger Devern Pruitt license number is
L1706 for Pediatrics (208000000X) in Texas.
Dr. Roger Devern Pruitt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Roger Devern Pruitt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Roger Devern Pruitt |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Dr. Roger Devern Pruitt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 180 Joe Wimberley Blvd, Ste 102
Wimberley, TX, 78676-6083
United States |
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| Phone Number : | 512-847-7700 |
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| Fax Number : | 512-847-7701 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932104353 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2005 |
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| Last Updated On : | 09 Feb, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roger Devern Pruitt are as mentioned. Primary taxonomy code for Dr. Roger Devern Pruitt, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | L1706 | TX |
| 2080A0000X | Pediatrics Adolescent Medicine | No | L1706 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Roger Devern Pruitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 157905401 | MEDICAID | TX | |
| 0085HZ | Other | TX | BLUE CROSS BLUE SHIELD |
| 7061167 | Other | TX | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 180 Joe Wimberley Blvd, Ste 102
Wimberley, TX, 78676-6083
United States |
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| Phone Number : | 512-847-7700 |
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| Fax Number : | 512-847-7701 |
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Business Location:
Patients can refer following map for directions to
Dr. Roger Devern Pruitt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.