Individual provider · Type 1 NPI

John Pruitt

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1245974310 Active

Practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Call (337) 502-6704 Map

Mailing address

4000 Beaconsdale Dr
Austin, TX 78727-2955

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245974310

John Pruitt's National Provider Identifier is 1245974310, issued on Apr 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Jul 23, 2026.