Individual
DR. LUZ OLAYA PETTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 S 5TH ST, MCALLEN, TX 78503-2909
(956) 992-0730
(956) 992-8862
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 992-0730
(956) 992-8862
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R6076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387007301
—
TX
Enumeration date
03/22/2011
Last updated
09/24/2018
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