Provider Demographics
NPI:1770309254
Name:PROSCRIPTION HEALTH LLC
Entity type:Organization
Organization Name:PROSCRIPTION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KRAIG
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-400-3302
Mailing Address - Street 1:6214 BRYAN PKWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-4302
Mailing Address - Country:US
Mailing Address - Phone:469-400-3302
Mailing Address - Fax:
Practice Address - Street 1:6214 BRYAN PKWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4302
Practice Address - Country:US
Practice Address - Phone:469-400-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty