Individual
DR. JASON PETRASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 DALLAS PKWY, FRISCO, TX 75034-9580
(469) 515-7100
(469) 515-7101
Mailing address
5700 DALLAS PKWY, FRISCO, TX 75034-9580
(469) 515-7100
(469) 515-7101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Q9878
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Q9878
TX
390200000X
Student in an Organized Health Care Education/Training Program
17539
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10047555
TX
Other
Enumeration date
04/13/2013
Last updated
08/23/2021
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