Pratt, Dustin Robert

Pratt, Dustin Robert is an sole proprietor health care provider with primary practice located at 1001 Highway 83 North , Childress TX 79201-1030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Hospice Care, Community Based. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pratt, Dustin Robert can be contacted via phone (940) 937-3636.

Contact Information

Primary practice address
1001 Highway 83 North Childress TX 79201-1030
Phone: (940) 937-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6834 Texas
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1912199456
LBN Legal business name Pratt, Dustin Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Jan 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912199456 NPPES
Texas MEDICAID 196752301

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