Provider Demographics
NPI:1639783293
Name:PRYOR, MADISON ASHLEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:ASHLEY
Last Name:PRYOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MADISON
Other - Middle Name:ASHLEY
Other - Last Name:SCHULER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7700 CAT HOLLOW DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5797
Mailing Address - Country:US
Mailing Address - Phone:512-733-5437
Mailing Address - Fax:512-244-1861
Practice Address - Street 1:7700 CAT HOLLOW DR STE 104
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5797
Practice Address - Country:US
Practice Address - Phone:512-733-5437
Practice Address - Fax:512-244-1861
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13790363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant