Active NPI
David E Prysock
- Marriage & Family Therapist
- Hurst, TX
National Provider Identifier
1093298093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201721
- Practice address
- 4825 Wedgeview Dr
Hurst, TX 76053-3829 - Phone
- (214) 934-0398
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201721 | TX | Primary |
Addresses
Primary practice location
4825 Wedgeview Dr
Hurst, TX 76053-3829
Mailing address
4825 Wedgeview Dr
Hurst, TX 76053-3829
Phone (214) 934-0398
Other practice location 1
4825 Wedgeview Dr
Hurst, TX 76053-3829
Phone (214) 934-0398
Other practice location 2
4825 Wedgeview Dr
Hurst, TX 76053-3829
Phone (214) 934-0398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201721 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1093298093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 WEDGEVIEW DR",
"city": "HURST",
"state": "TX",
"postal_code": "760533829",
"telephone_number": "214-934-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 WEDGEVIEW DR",
"city": "HURST",
"state": "TX",
"postal_code": "760533829",
"telephone_number": "214-934-0398"
}
],
"practiceLocations": [
{
"address_1": "4825 Wedgeview Dr",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "760533829",
"country_code": "US",
"telephone_number": "214-934-0398",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4825 Wedgeview Dr",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "760533829",
"country_code": "US",
"telephone_number": "214-934-0398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRYSOCK",
"first_name": "DAVID",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
- Joseph Powell, LCDC, RSPS, PSS
- Prasannak N Kumar MD F R C S PA
- Preferred Imaging Heb, LP
- Premise Health of Texas Medical PA (Bell Health & Wellness Center)
- Prosmiles Dental PLLC
- PSG Mid-Cities Medical Center, LLC (Saint Camillus Medical Center)
- Psyched Health, PLLC
- Q and C Healthcare, Inc
- Emma Quigley, MS CCC SLP
- R and R Physical Therapy PLLC (Jeff Rau Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.