Organization
LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON PETTKE DC (OWNER/AUTHORIZED OFFICIAL)
(817) 297-7100
Entity
Organization
Contact information
Practice address
1320 NW JOHN JONES DR, BURLESON, TX 76028-8040
(817) 297-7100
(817) 297-7193
Mailing address
1320 NW JOHN JONES DR, BURLESON, TX 76028-8040
(817) 297-7100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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