Gordon Pratt Jr Dds Ms Pa

Specialty details in registry · Bryan, TX

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At a glance

2011C E Villa Maria, Bryan, TX 77802

NPPES record updated Jan 25, 2012. Public records can lag behind changes at a practice.

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Practice location

2011C E Villa Maria
Bryan, TX 77802
Professional details: NPI, taxonomy & registry record
NPI1003983453
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223X0400X
Enumeration date
Nov 29, 2006
Record updated
Jan 25, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223X0400X · Primary

License reported: 10443 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2011C E Villa Maria
Bryan, TX 77802
Phone
(979) 776-8689
Fax
(979) 776-1335
Mailing address
2011C E VILLA MARIA

BRYAN, TX 77802
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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