Larry Pettit Do PA

NPI #1952671638 in Plano, Texas

Provider Information

NPI Number: 1952671638
Entity Type: Organization
Organization Name: Larry Pettit Do PA
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 6300 W PARKER RD
Address 2: SUITE 128
City: Plano
State: Texas
ZIP Code: 75093-8100
Phone: (972) 981-8658

Authorized Official

Name: LARRY A PETTIT, DO
Title: PRESIDENT
Phone: (972) 981-8658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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