Matthew Sean Petitt in Pasadena - Dermatopathology

Matthew Sean Petitt - NPI 1912101593

Matthew Sean Petitt is a Dermatopathology in Pasadena, Texas. Matthew Sean Petitt practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Matthew Sean Petitt is 1912101593. The last update date is 2022-06-13.

Matthew Sean Petitt's current location address is 4419 Crenshaw Rd, Pasadena, Texas. You can contact this provider via phone number 2819915944. The mailing address for Matthew Sean Petitt is 4419 Crenshaw Rd, Pasadena, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Sean Petitt
Address 4419 Crenshaw Rd, Pasadena, Texas
Phone Number 2819915944
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1912101593
Provider Enumeration Date 2007-06-14
Last Updated Date 2022-06-13

Provider Mailing Address Detail

Address 4419 Crenshaw Rd
City Pasadena
State Texas (TX)
Post Code 775043628
Phone Number 2819915944
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No M2750
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3853003243 MYUTMB 3853003243-COMMERCIAL N

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FAQs about Matthew Sean Petitt

What is the unique identifier code issued to Matthew Sean Petitt by the Centers for Medicare & Medicaid Services?

The Matthew Sean Petitt has been assigned the NPI (National Provider Identifier) 1912101593. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Matthew Sean Petitt is physically located?

The Matthew Sean Petitt is physically situated at the following address: 4419 Crenshaw Rd, Pasadena, TX, 775043628.

What is Matthew Sean Petitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Matthew Sean Petitt's specialized field of practice is Dermatopathology, and the corresponding taxonomy code that categorizes this area of specialization is 207Nd0900X.

On what date did Matthew Sean Petitt receive its 1912101593 assignment from the Centers for Medicare & Medicaid Services?

The Matthew Sean Petitt was assigned its 1912101593 on 2007-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Matthew Sean Petitt last refreshed?

The information related to the Matthew Sean Petitt, including its address, specialty, and other relevant details, was last updated on 2022-06-13.

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