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Donna Marie Prokop-fettig, PA-C
Medical Physician Assistant in Round Rock, Texas
NPI 1013153147

Donna Marie Prokop-fettig is a Medical Physician Assistant based in Oklahoma City, TX and is specialized in Medical. Donna Marie Prokop-fettig practices in Round Rock, TX and has the professional credentials of PA-C. The NPI Number for Donna Marie Prokop-fettig is 1013153147 and holds a License No. PA06103 (Texas).

The current practice location address for Donna Marie Prokop-fettig is 1201 Sam Bass Rd, Round Rock, TX and can be reached out via phone at 512-388-1861 and via fax at 512-388-0373. You can also correspond with Donna Marie Prokop-fettig through the mailing address at PO BOX 268945, OKLAHOMA CITY, OK - 73126-8945 (mailing address contact number: 512-388-1861).

Location: 1201 Sam Bass Rd, Round Rock, TX, 73126-8945
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Provider Profile Details
NPI Number
1013153147
Provider Name
Donna Marie Prokop-fettig
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1201 Sam Bass Rd, Round Rock, TX, 73126-8945
Phone Number
512-388-1861
Fax Number
512-388-0373
Provider Enumeration Date
12/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2028235-02 05 TX
2028235-01 05 TX
institution
Provider Business Practice Location Address Details
Address
1201 Sam Bass Rd
City
State
Zip
78681-4137
Phone Number
512-388-1861
Fax Number
512-388-0373
person
Provider Business Mailing Address Details
Address
1201 Sam Bass Rd
City
State
Zip
78681-4137
Phone Number
512-388-1861
Fax Number
512-388-0373
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA06103 (Texas)
Definition
Definition to come...
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