Individual
CANDACE DIANE PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, BEN TAUB GENERAL HOSPITAL - EMERGENCY CENTER, HOUSTON, TX 77030-1608
(713) 873-7045
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-7045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10037421
TX
Other
Enumeration date
04/20/2010
Last updated
09/27/2013
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