Provider Demographics
NPI:1649464033
Name:PANKRATZ, KARL
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:PANKRATZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 21ST ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1212
Mailing Address - Country:US
Mailing Address - Phone:806-725-4865
Mailing Address - Fax:806-723-7866
Practice Address - Street 1:4110 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1122
Practice Address - Country:US
Practice Address - Phone:068-792-4329
Practice Address - Fax:806-723-7866
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0343207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery