Individual
DR. ADAM MATTHEW PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1015 HIGHWAY 80, SUITE A, SAN MARCOS, TX 78666-8111
(512) 353-2141
(512) 353-3774
Mailing address
1015 HIGHWAY 80, SUITE A, SAN MARCOS, TX 78666-8111
(512) 353-2141
(512) 353-3774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05012T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E55V
BCBS
TX
01
—
07341
SPECTERA
TX
05
—
093089302
—
TX
Enumeration date
07/30/2005
Last updated
10/31/2008
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