Individual
MR. TIMOTHY MARC PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. PHLEBOTOMIST
Contact information
Practice address
2002 S MASON RD, 1027, KATY, TX 77450-5924
(832) 794-7175
Mailing address
2002 S MASON RD, 1027, KATY, TX 77450-5924
(832) 794-7175
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
200310R11
TX
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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