Individual
ZACHERY PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W STATE HIGHWAY 6 STE 101, WACO, TX 76710-5592
(254) 772-5454
Mailing address
601 W STATE HIGHWAY 6 STE 101, WACO, TX 76710-5592
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T1185
TX
Other
Enumeration date
03/27/2017
Last updated
07/21/2022
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