Lone Star Progressive Medicine of Burleson PA

NPI #1437668951 in Burleson, Texas

Provider Information

NPI Number
1437668951
Entity Type
Organization
Organization Name
Lone Star Progressive Medicine of Burleson PA
Primary Specialty
General Practice
Enumeration Date
Sep 27, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
1320 NW JOHN JONES DR
State
Texas
ZIP Code
76028-8040
Phone
(817) 297-7100

Authorized Official

Name
MICHAEL BRANDON PETTKE, DC
Title
OWNER/AUTHORIZED OFFICIAL
Phone
(817) 297-7100

Specialties & Taxonomy Codes

Specialty
General Practice

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