Organization
PETTICOAT FAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK ANDREWS (PRESIDENT)
(512) 454-2900
Entity
Organization
Contact information
Practice address
7739 NORTHCROSS DR, SUITE M, AUSTIN, TX 78757-1700
(512) 454-2900
(512) 454-3381
Mailing address
PO BOX 10676, AUSTIN, TX 78766-1676
(512) 454-2900
(512) 454-3381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17
TX
Other
Enumeration date
09/25/2006
Last updated
07/21/2022
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