Organization

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)

Code

302F00000X

Primary Taxonomy

Yes

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

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