Individual
TREY COLIN PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.(R)
Contact information
Practice address
4508 37TH ST, LUBBOCK, TX 79414-2615
(806) 778-8017
Mailing address
4508 37TH ST, LUBBOCK, TX 79414-2615
(806) 778-8017
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
23364
TX
2471C3402X
Radiography Radiologic Technologist
R-3058
HI
2471C3402X
Radiography Radiologic Technologist
RHF 96247
CA
2471C3402X
Radiography Radiologic Technologist
RT 00007061
WA
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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