Last Updated: 12/5/2025 5:24:46 AM
Facility Detail| Corporation / Company Owner Name | |
| Business (DBA) Name | PRODIGY HEALTH SUPPLIER CORPORATION |
| License Number | 88-W-1358 |
| Facility Type | Wholesale Distributor |
| Address |
9417 BRODIE LN |
| City, State, Zip | AUSTIN,TX 78748 |
| Country | |
| Issue Date | 09/17/2004 |
| Renewed Date | 08/19/2021 |
| Expiration Date | 09/30/2022 |
| Renewal Month | |
| End Date | 08/26/2022 |
| Status | CLOSED |
| In Process? | |
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- ATTENTION NEW REGISTRANTS! Website verification is not an official certificate of registration. You cannot practice in Oklahoma until you have received a letter of registration, renewal or permit from the Board
- WRITTEN VERIFICATION OF LICENSURE (OR LETTER OF GOOD STANDING): There is a $10 fee for a certified verification of license from the Board. Website verification remains free.