Jared B Petty in Winnsboro - Internal Medicine
Jared B Petty - NPI 1720280753
Jared B Petty is a Internal Medicine in Winnsboro, Texas. Jared B Petty practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jared B Petty is 1720280753. The last update date is 2015-07-24.
Jared B Petty's current location address is 209 E Broadway St, Winnsboro, Texas. You can contact this provider via phone number 9033423355. The mailing address for Jared B Petty is 209 E Broadway St, Winnsboro, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared B Petty |
|---|---|
| Address | 209 E Broadway St, Winnsboro, Texas |
| Phone Number | 9033423355 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1720280753 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2015-07-24 |
Provider Mailing Address Detail
| Address | 209 E Broadway St |
|---|---|
| City | Winnsboro |
| State | Texas (TX) |
| Post Code | 754942604 |
| Phone Number | 9033423355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | M7519 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8V3853 | TX | BCBS | |
| 206328102 | TX | -- | |
| 8DB900 | TX | BCBS | |
| 75-2616977-042 | TX | TRICARE | |
| TIN PLUS 083 | TX | TRICARE | |
| 7527715699005 | TX | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jared B Petty by the Centers for Medicare & Medicaid Services?
The Jared B Petty has been issued the NPI (National Provider Identifier) 1720280753 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jared B Petty located?
The Jared B Petty is located at 209 E Broadway St, Winnsboro, TX 754942604.
What is Jared B Petty's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jared B Petty's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720280753 to Jared B Petty?
The Centers for Medicare & Medicaid Services assigned the 1720280753 to Jared B Petty on 2007-06-01.
As of what date were the details related to Jared B Petty most recently updated or revised?
The information pertaining to Jared B Petty, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-24.