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Organization
LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA
Active
Organization
LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON PETTKE DC (OWNER/AUTHORIZED OFFICIAL)
(817) 297-7100
Entity
Organization
Contact information
Practice address
1320 NW JOHN JONES DR, BURLESON, TX 76028-8040
(817) 297-7100
(817) 297-7193
Mailing address
1320 NW JOHN JONES DR, BURLESON, TX 76028-8040
(817) 297-7100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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