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Dr. Roger Devern Pruitt, DO
Pediatrics Physician in Wimberley, Texas
NPI 1932104353

Roger Devern Pruitt is a Pediatrics Physician based in Wimberley, TX. Roger Devern Pruitt practices in Wimberley, TX and has the professional credentials of DO. The NPI Number for Roger Devern Pruitt is 1932104353 and holds a License No. L1706 (Texas).

The current practice location address for Roger Devern Pruitt is 180 Joe Wimberley Blvd, Wimberley, TX and can be reached out via phone at 512-847-7700 and via fax at 512-847-7701. You can also correspond with Roger Devern Pruitt through the mailing address at 180 JOE WIMBERLEY BLVD, WIMBERLEY, TX - 78676-6083 (mailing address contact number: 512-847-7700).

Location: 180 Joe Wimberley Blvd, Wimberley, TX, 78676-6083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932104353
Provider Name
Roger Devern Pruitt
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
180 Joe Wimberley Blvd, Wimberley, TX, 78676-6083
Phone Number
512-847-7700
Fax Number
512-847-7701
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7061167 01 TX AETNA
0085HZ 01 TX BLUE CROSS BLUE SHIELD
157905401 05 TX
institution
Provider Business Practice Location Address Details
Address
180 Joe Wimberley Blvd
City
Wimberley
State
Texas
Zip
78676-6083
Phone Number
512-847-7700
Fax Number
512-847-7701
person
Provider Business Mailing Address Details
Address
180 Joe Wimberley Blvd
City
Wimberley
State
Texas
Zip
78676-6083
Phone Number
512-847-7700
Fax Number
512-847-7701
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
L1706 (Texas)
Definition
A pediatrician 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
L1706 (Texas)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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