Organization
DARRELL R. PIETSCH, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL RAY PIETSCH MD (PRESIDENT)
(254) 732-6789
Entity
Organization
Contact information
Practice address
6600 FISH POND RD, WACO, TX 76710-2581
(254) 732-6789
Mailing address
6600 FISH POND RD, WACO, TX 76710-2581
(254) 732-6789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7867
TX
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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