Joseph Lee Petty in Tyler - Obstetrics & Gynecology
Joseph Lee Petty - NPI 1649461211
Joseph Lee Petty is a Obstetrics & Gynecology in Tyler, Texas. Joseph Lee Petty practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Joseph Lee Petty is 1649461211. The last update date is 2023-01-18.
Joseph Lee Petty's current location address is 523 S Fannin Ave, Tyler, Texas. You can contact this provider via phone number 9035359041 and fax number 9037478163. The mailing address for Joseph Lee Petty is 523 S Fannin Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Lee Petty |
|---|---|
| Address | 523 S Fannin Ave, Tyler, Texas |
| Phone Number | 9035359041 |
| Fax Number | 9037478163 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649461211 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 523 S Fannin Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757028204 |
| Phone Number | 9035359041 |
| Fax Number | 9037478163 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | N6579 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 215374402 | TX | -- | |
| TXB102462 | TX | MEDICARE GROUP PTAN | |
| 295206101 | TX | MEDICAID GROUP NUMBER | |
| TXB146789 | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Joseph Lee Petty by the Centers for Medicare & Medicaid Services?
The Joseph Lee Petty has been assigned the NPI (National Provider Identifier) 1649461211 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Joseph Lee Petty's physical address?
The Joseph Lee Petty is physically located at 523 S Fannin Ave, in the city of Tyler, TX, with the postal code 757028204.
What is the Joseph Lee Petty's area of specialization and corresponding taxonomy classification?
The Joseph Lee Petty's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1649461211 to Joseph Lee Petty?
The Centers for Medicare & Medicaid Services assigned the 1649461211 to Joseph Lee Petty on 2007-08-07.
When was the information regarding Joseph Lee Petty most recently updated?
The details pertaining to the Joseph Lee Petty, including its address, specialty, and other relevant information, were last refreshed on 2023-01-18.
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