NPI 1215979265 LARRY A PETTIT DO FORT WORTH TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Larry A Pettit - NPI: 1215979265

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: LARRY A PETTIT
NPI Number: 1215979265
Entity Type Code: Individual (1)
Gender: M
Credentials: DO
License Number: K6235
Business Practice Address: 8200 Walnut Hill Ln
Dallas, TX - 752314426
Business Phone Number: 2143456789
Business Fax Number:
Mailing Address: Po Box 8549,
FORT WORTH
State: TX
Postal Code: 761240549
Phone Number: 8174514208
Fax Number: 8175633699
NPI Enumeration Date: 06/12/2006
NPI Last Update Date: 06/04/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207P00000X
License Number: K6235
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Emergency Medicine
Taxonomy Specialization:
Taxonomy Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


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