Individual
MR. SCOTT PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5324 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-6824
(817) 282-5273
Mailing address
5324 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-6824
(817) 282-5273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
ATP 60119
TX
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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