Individual provider · Type 1 NPI

Donna Marie Prokop-Fettig, P.A.-C

Medical Physician Assistant · Round Rock, TX

NPI number 1013153147 Active

Practice location

1201 Sam Bass Rd
Round Rock, TX 78681-4137

Call (512) 388-1861 Map

Fax (512) 388-0373

Mailing address

PO Box 268945
Oklahoma City, OK 73126-8945

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA06103 (TX)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1013153147

Donna Marie Prokop-Fettig, P.A.-C's National Provider Identifier is 1013153147, issued on Dec 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Round Rock, TX. The record was last updated on Sep 14, 2009.