Individual
MR. CAMERON JAMES PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 W 38TH ST STE 400, AUSTIN, TX 78705-1103
(512) 306-1323
(512) 306-1142
Mailing address
801 W 38TH ST STE 400, AUSTIN, TX 78705-1103
(512) 306-1323
(512) 306-1142
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355601101
—
TX
Enumeration date
08/17/2015
Last updated
01/20/2025
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