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Individual
DR. JASON PETRASIC
Active
Individual
DR. JASON PETRASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Q9878
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Q9878
TX
390200000X
Student in an Organized Health Care Education/Training Program
17539
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10047555
TX
Other
Enumeration date
04/13/2013
Last updated
08/23/2021
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