Pratt, Stephen Earl
Pratt, Stephen Earl is an individual health care provider with primary practice located at 2021 N Macarthur Blvd Ste 435 , Irving TX 75061-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pratt, Stephen Earl can be contacted via phone (972) 445-9515.Contact Information
Primary practice address
2021 N Macarthur Blvd Ste 435
Irving TX 75061-2219
Phone: (972) 445-9515
Fax: (972) 445-9414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C51826 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P8086 | Texas |
Profile Details
| NPI number | 1831186030 |
|---|---|
| LBN Legal business name | Pratt, Stephen Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Oct 8th, 2019 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831186030 | NPPES |
| Texas | Other | 879LPH | BCBS |
| Texas | MEDICAID | 00C518260 | BCBS |
| Texas | MEDICAID | 333711505 | BCBS |
| Texas | Other | P01488180 | BCBS |
| Texas | MEDICAID | 333711501 | BCBS |
| Texas | MEDICAID | 333711503 | BCBS |
| Texas | Other | 8EK561 | BCBS |
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