Provider Demographics
NPI:1598872871
Name:URRATE, DAVID CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTIAN
Last Name:URRATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 PARKSTONE HEIGHTS DR STE 360
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7482
Mailing Address - Country:US
Mailing Address - Phone:512-637-9090
Mailing Address - Fax:512-340-0096
Practice Address - Street 1:4101 PARKSTONE HEIGHTS DR STE 360
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7482
Practice Address - Country:US
Practice Address - Phone:512-637-9090
Practice Address - Fax:512-340-0096
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK54202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144997703Medicaid
TX611219Medicare ID - Type Unspecified
H43147Medicare UPIN