Individual
DAVID PRATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5910
(210) 916-2077
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5910
(210) 916-2077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101273721
VA
208D00000X
General Practice Physician
0101273721
VA
Other
Enumeration date
02/20/2020
Last updated
07/13/2023
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