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Organization

LARRY PETTIT DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY A PETTIT DO (PRESIDENT)
(972) 981-8658
Entity
Organization

Contact information

Practice address
6300 W PARKER RD, SUITE 128, PLANO, TX 75093-8100
(972) 981-8658
(972) 981-8657
Mailing address
6300 W PARKER RD, SUITE 128, PLANO, TX 75093-8100
(972) 981-8658
(972) 981-8657

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6235
TX

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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