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Individual

DR. DUSTIN ROBERT PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 HIGHWAY 83 NORTH, CHILDRESS, TX 79201-1030
(940) 937-3636
Mailing address
1001 US HIGHWAY 83 N, CHILDRESS, TX 79201-2322
(940) 937-3636
(940) 937-9644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6834
TX
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196752301
TX
Enumeration date
08/17/2007
Last updated
01/12/2023
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