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Individual
MRS. PRISCILLA LOUISE PETRASH
Active
Individual
MRS. PRISCILLA LOUISE PETRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA08202B
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-04262
NORTH CAROLINA MEDICAL BOARD
—
01
—
PA08202
TEXAS MEDICAL BOARD
TX
Enumeration date
10/25/2013
Last updated
12/09/2021
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