MR. DONALD EUGENE PRENTISS JR. (NPI# 1205227766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205227766 |
| Entity Type | Individual |
| Full Name | MR. DONALD EUGENE PRENTISS JR. |
| Practice Address |
10713 N Ranch Road 620 Bldg E Ste 525 Austin TX 78726-1756 |
| Practice Telephone | 5127791376 |
| Mailing Telephone | 5127791376 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275617839 | Donald Paul Prentiss Jr. | Surgery | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2006-10-24 |
| Street Address |
10713 N RANCH ROAD 620 BLDG E STE 525 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78726-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833824 | Integrated Health Diagnostics, LLC | Clinical Medical Laboratory | 10713 N Ranch Road 620, Bldge E Ste 525, Austin, TX 78726-1756 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385152 | Meridian Preferred Network, LLC | Durable Medical Equipment & Medical Supplies | 11512 Tibee Drive, Austin, TX 78726 | 2019-03-19 |
| 1356709083 | Britex | Dentist | 10200 Boulder Lane, #300, Austin, TX 78726 | 2016-02-09 |
| 1205224490 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7300 N Fm 620, Austin, TX 78726 | 2014-12-23 |
| 1881933372 | Judy Ann Adan | Dentist | 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 | 2013-02-04 |
| 1295974236 | Brendan Booker Loehr | Dentist | Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 | 2009-02-16 |
| 1174730980 | David Eugene Helms | Counselor | 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 | 2007-05-17 |
| 1013037480 | Four Points Dental Pa | Dentist | 7301 North Fm 620, Suite 150, Austin, TX 78726 | 2007-03-30 |
| 1043329469 | H-e-b, Lp | Clinical Medical Laboratory | 7301 N Fm 620, Austin, TX 78726 | 2006-08-30 |
| 1063521037 | H-e-b, Lp | Clinical Medical Laboratory | 11521 North Fm 620 Building A, Austin, TX 78726 | 2006-08-30 |
| 1518934413 | Thomas Gretzinger | Dermatology | 12211 Fm 2769, Austin, TX 78726 | 2006-03-01 |
| Find all providers in zip 78726 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
| 1477079556 | Mini Vetticadan | Technician, Pathology | 3245 Reid Dr Ste B, Corpus Christi, TX 78404-2518 | 2017-08-20 |
| 1518342807 | Michael Thai | Technician, Pathology | 15814 Mission Terrace Ct, Houston, TX 77083-5266 | 2015-07-28 |
| 1669894598 | Rose Udeh-nwosuocha | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
| 1891085197 | Cathy Kekeocha | Technician, Pathology | 5755 College St Ste C, Beaumont, TX 77707-3518 | 2011-04-08 |
| 1548598964 | Charlotte Miles Porter | Technician, Pathology | 9210 Hanover Cv, Converse, TX 78109-2947 | 2009-11-23 |
| 1689829418 | Charlotte B Vdovychenko | Technician, Pathology | 2801 Brazos Blvd, Apt 4309, Euless, TX 76039-5435 | 2008-11-20 |
| 1093869489 | Andre Laboratory Inc | Technician, Pathology | 1570 Lomaland, Suite C, El Paso, TX 79935 | 2007-01-22 |
| 1033228127 | Rose Toon | Technician, Pathology | 2718 Barbee St, Houston, TX 77004-5367 | 2006-08-30 |
| 1316055155 | Kay Wadsworth | Technician, Pathology | 14423 Dartwood Dr, Houston, TX 77049-3801 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.