Provider Demographics
NPI:1265860159
Name:PRATT, ANDREW MARTIN (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:MARTIN
Last Name:PRATT
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:800 COUNTY ROAD 117
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-7484
Mailing Address - Country:US
Mailing Address - Phone:210-488-5327
Mailing Address - Fax:210-404-9466
Practice Address - Street 1:4045 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6313
Practice Address - Country:US
Practice Address - Phone:210-826-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2022-01-31
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant