MR. Timothy Marc Petty, LIC. PHLEBOTOMIST

NPI #1548534506 in Katy, Texas

Provider Information

NPI Number
1548534506
Entity Type
Individual
Name
MR. Timothy Marc Petty, LIC. PHLEBOTOMIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Pathology - Phlebotomy
Credential
LIC. PHLEBOTOMIST
Enumeration Date
Mar 8, 2012
Last Updated
Mar 8, 2012

Practice Location

Address
2002 S MASON RD
Address 2
1027
City
Katy
State
Texas
ZIP Code
77450-5924
Phone
(832) 794-7175

Specialties & Taxonomy Codes

Specialty
Technician, Pathology - PhlebotomyPhlebotomy

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