Individual
TONYA A PETTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1903 CENTRAL DR STE 301, BEDFORD, TX 76021-5813
(682) 345-5557
(855) 282-5709
Mailing address
PO BOX 211631, BEDFORD, TX 76095-8631
(682) 345-5557
(855) 282-5709
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
20485
TX
172V00000X
Community Health Worker
Primary
20485
TX
Other
Enumeration date
09/16/2025
Last updated
09/21/2025
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