Individual provider · Type 1 NPI

Prince Richardson Lemuel Ernest, MD

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

NPI number 1710595350 Active

Practice location

701 W 5th St
Odessa, TX 79763-4206

Mailing address

701 W 5th St Ste 1229
Odessa, TX 79763-4206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10071178 (TX)

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 1710595350

Prince Richardson Lemuel Ernest, MD's National Provider Identifier is 1710595350, issued on Jul 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Odessa, TX. The record was last updated on Jul 21, 2020.