Luke Prochnow, PHYSICIAN ASSISTANT

NPI #1336733419 in Austin, Texas

Provider Information

NPI Number: 1336733419
Entity Type: Individual
Name: Luke Prochnow, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 1, 2021
Last Updated: Mar 1, 2021

Practice Location

Address: 11005 BURNET RD STE 118
City: Austin
State: Texas
ZIP Code: 78758-4440
Phone: (512) 229-1535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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