Individual
DR. EDWARD WAYNE PETRIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3004 LIVE OAK ST, ROUND ROCK, TX 78681-1238
(737) 293-0000
Mailing address
3004 LIVE OAK ST, ROUND ROCK, TX 78681-1238
(737) 293-0000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P4098
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
P4098
TX
2083A0100X
Aerospace Medicine Physician
P4098
TX
208D00000X
General Practice Physician
P4098
TX
Other
Enumeration date
05/12/2011
Last updated
01/13/2022
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