Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER DEVERN PRUITT, D.O.
ActiveDR. ROGER DEVERN PRUITT, D.O. is a Pediatrics healthcare provider located in WIMBERLEY, Texas. NPI 1932104353 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WIMBERLEY, TX
Registration Details
- NPI Number
- 1932104353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (21.21351996381 yrs)
- Last Updated
- Feb 9, 2022
- Licenses
-
L1706 (TX)L1706 (TX)
Practice Information
- Address
-
180 JOE WIMBERLEY BLVDSTE 102WIMBERLEY, TX, 786766083Browse TX providers · Browse ZIP 78676
- Phone
- 5128477700
- Fax
- 5128477701
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in WIMBERLEY, TX
| Name | Credential | NPI |
|---|---|---|
| KARYN W. COLLINS | MD | 1245246420 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.