Individual
BRIAN PETRONACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4316 JAMES CASEY BLDG F, #201, AUSTIN, TX 78745
(512) 266-3377
Mailing address
4316 JAMES CASEY BLDG F, #201, AUSTIN, TX 78745
(512) 266-3377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00382200
NJ
363A00000X
Physician Assistant
Primary
—
TX
363AS0400X
Surgical Physician Assistant
25MP00382200
NJ
Other
Enumeration date
11/05/2015
Last updated
01/06/2023
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