Individual provider · Type 1 NPI
Poe Prochaska, OTR
Specialist · Humble, TX
NPI number
1043425523
Active
Practice location
12430 Cedar Breaks Ct
Humble, TX 77346-4058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 109694 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Ira Krause, MDSpecialist Humble, TX NPI 1588664676
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About NPI 1043425523
Poe Prochaska, OTR's National Provider Identifier is 1043425523, issued on May 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Humble, TX. The record was last updated on Aug 1, 2009.