Michael D. Pettibon in Dallas - Pain Medicine
Michael D. Pettibon - NPI 1699752097
Michael D. Pettibon is a Pain Medicine in Dallas, Texas. Michael D. Pettibon practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Michael D. Pettibon is 1699752097. The last update date is 2020-07-01.
Michael D. Pettibon's current location address is Po Box 840853, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9722333666. The mailing address for Michael D. Pettibon is Po Box 840853, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D. Pettibon |
|---|---|
| Address | Po Box 840853, Dallas, Texas |
| Phone Number | 9727155000 |
| Fax Number | 9722333666 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699752097 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2020-07-01 |
Provider Mailing Address Detail
| Address | Po Box 840853 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752840853 |
| Phone Number | 9727155000 |
| Fax Number | 9722333666 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | H0722 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132632410 | TX | -- | |
| 8EL144 | TX | BCBS | |
| P01446653 | TX | RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael D. Pettibon?
The Michael D. Pettibon has been issued the NPI (National Provider Identifier) 1699752097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael D. Pettibon?
The Michael D. Pettibon is physically situated at Po Box 840853, in the city of Dallas, state of TX, with the postal code 752840853.
What is the Michael D. Pettibon's specialty and taxonomy code?
The Michael D. Pettibon's specialty is Pain Medicine, and the corresponding taxonomy code is 207Lp2900X.
When did Michael D. Pettibon receive its 1699752097 assignment?
The Michael D. Pettibon was assigned its 1699752097 on 2005-12-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Michael D. Pettibon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael D. Pettibon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-01.