Organization
CHRIS PRATT DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PRATT DO (OWNER)
(817) 423-3936
Entity
Organization
Contact information
Practice address
7800 OAKMONT BLVD, SUITE 400, FORT WORTH, TX 76132-4203
(817) 423-6582
(817) 423-3941
Mailing address
PO BOX 33497, FORT WORTH, TX 76162-3497
(817) 423-3936
(817) 423-3941
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076GV
BCBS GROUP NUMBER
TX
01
—
DA3439
MEDICARE RR GROUP NUMBER
—
Enumeration date
05/15/2006
Last updated
10/24/2007
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