Individual provider · Type 1 NPI
Tyra Prout, NP-C
Family Nurse Practitioner · Dallas, TX
NPI number
1720739790
Active
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1048359 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720739790
Tyra Prout, NP-C's National Provider Identifier is 1720739790, issued on Jan 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jan 12, 2022.