Prodigy Care Services Llc
Exclusive Provider Organization in Austin, TX(View on Map)
Legal Business Name
Prodigy Care Services Llc
NPI Number
1053096354
NPI Type
Organization
Enumeration Date
06/15/2023
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3161
5900 BALCONES DR STE 100
City
Milwaukee
Austin
State
WI
TX
Postal Code
53201-3161
78731-4298
Country
US
US
Telephone Number
(713) 322-6667
(713) 322-6667
Authorized Official
Name
Mr. Paul Norkett
Title or Position
CHIEF OPERATING OFFICER
Telephone Number
(972) 800-7674
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/15/2023
Provider Address
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