Dr. Holden William Pratka, D.O..
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
Details
- NPI
- 1972398147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Holden William Pratka
- Credential
- D.O..
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2025
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4502 Medical DrSan Antonio, TX 78229-4402
Phone 210-358-4000
Mailing address
111 Terra Vista Ranch RdVictoria, TX 77904-2964
Phone 361-212-1500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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