Individual
DR. BART EDWARD PETRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W BAY AREA BLVD APT 2702, WEBSTER, TX 77598-3136
(512) 771-8189
Mailing address
2701 W BAY AREA BLVD APT 2702, WEBSTER, TX 77598-3136
(512) 771-8189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M7518
TX
2085N0700X
Neuroradiology Physician
Primary
18693
ND
2085N0700X
Neuroradiology Physician
55343
AZ
2085N0700X
Neuroradiology Physician
M7518
TX
2085R0202X
Diagnostic Radiology Physician
2454-320
WI
2085R0202X
Diagnostic Radiology Physician
EMC0005689
MI
2085R0202X
Diagnostic Radiology Physician
M7518
TX
208D00000X
General Practice Physician
M7518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189372914
—
TX
05
—
189372915
—
TX
01
—
8R9891
BCBS
TX
Enumeration date
06/14/2007
Last updated
02/24/2025
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