Organization · NPI-2

Adam Pratt Od

Optometrist · San Marcos, TX

NPI number1609249358
StatusActive
Last updated in NPPESNov 3, 2015

Details

NPI
1609249358
Entity type
Organization (NPI-2)
Legal business name
Adam Pratt Od
Organization subpart
No
Enumeration date
Nov 3, 2015
Last updated
Nov 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5012TTXYes

Practice location

1015 Highway 80 Ste A
San Marcos, TX 78666-8161

Phone 512-353-2141

Mailing address

2453 Great Oaks Dr
San Marcos, TX 78666-5034

Phone 512-353-2141

Authorized official

Adam Pratt
Owner
5123532141

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