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Individual

DR. ALICE ANN PRATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7412
Mailing address
217 SEABURY ST, SUISUN CITY, CA 94585-4108

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29819
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T5645
TEXAS MEDICAL BOARD
TX
Enumeration date
06/04/2015
Last updated
06/14/2022
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