Prodigy Wellness Pllc

NPI #1780043695 in Frisco, Texas

Provider Information

NPI Number: 1780043695
Entity Type: Organization
Organization Name: Prodigy Wellness Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 19, 2016
Last Updated: Feb 19, 2016

Practice Location

Address: 4040 LEGACY DR
Address 2: SUITE 204
City: Frisco
State: Texas
ZIP Code: 75034-6748
Phone: (585) 978-0796

Authorized Official

Name: DR. SAMAD KHAN, MD
Title: OWNER
Phone: (585) 978-0796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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