Individual
CHRISTOPHER PRATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 E MOCKINGBIRD LN, #101, VICTORIA, TX 77904-2155
(361) 513-6291
(361) 576-2434
Mailing address
1501 E MOCKINGBIRD LN, STE 101, VICTORIA, TX 77904-2178
(361) 573-6291
(361) 576-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046153501
—
TX
01
—
742710179A028
CHAMPUS
TX
01
—
87W156
BLUE CROSS
TX
01
—
MDK3629
WORKERS COMPENSATION
TX
Enumeration date
10/16/2006
Last updated
09/07/2016
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