Michael Kent Petty in Waco - Family Medicine
Michael Kent Petty - NPI 1700850682
Michael Kent Petty is a Family Medicine in Waco, Texas. Michael Kent Petty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Kent Petty is 1700850682. The last update date is 2008-05-21.
Michael Kent Petty's current location address is Po Box 5338, Waco, Texas. You can contact this provider via phone number 2542024660 and fax number 2542024716. The mailing address for Michael Kent Petty is Po Box 5338, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kent Petty |
|---|---|
| Address | Po Box 5338, Waco, Texas |
| Phone Number | 2542024660 |
| Fax Number | 2542024716 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1700850682 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | Po Box 5338 |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 76708 |
| Phone Number | 2542024660 |
| Fax Number | 2542024716 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J9268 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8A8890 | TX | BCBS | |
| 142060601 | TX | -- |
Post Comment/ Review Below
What is the Michael Kent Petty's 1700850682?
The Michael Kent Petty's NPI (National Provider Identifier) Number is 1700850682. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Kent Petty located?
The Michael Kent Petty is located at Po Box 5338, Waco, TX 76708.
What is the Michael Kent Petty's specialty and taxonomy code?
The Michael Kent Petty's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Michael Kent Petty receive its 1700850682?
The Michael Kent Petty was issued its 1700850682 on 2006-02-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Michael Kent Petty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Kent Petty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-21.