Individual
CARLTON PETTIES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 WILLCREST DRIVE, 110, HOUSTON, TX 77042
(713) 666-8287
Mailing address
2424 WILLCREST DRIVE, 110, HOUSTON, TX 77042
(713) 666-8287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
985725
TX
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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