Individual
CHRISTOPHER C. PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1651 W ROSEDALE, SUITE 205, FORT WORTH, TX 76104-7437
(817) 332-9966
(817) 332-9977
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-9977
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
K5670
TX
207Q00000X
Family Medicine Physician
K5670
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
K5670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144762504
—
TX
05
—
144762505
—
TX
01
—
P00640859
RAILROAD MEDICARE
—
Enumeration date
02/20/2006
Last updated
08/27/2013
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