Trent Leon Pettijohn in Plano - Nuclear Cardiology
Trent Leon Pettijohn - NPI 1265468706
Trent Leon Pettijohn is a Nuclear Cardiology in Plano, Texas. Trent Leon Pettijohn practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Trent Leon Pettijohn is 1265468706. The last update date is 2023-01-18.
Trent Leon Pettijohn's current location address is 6300 W Parker Rd, Plano, Texas. You can contact this provider via phone number 4698004400 and fax number 4698004410. The mailing address for Trent Leon Pettijohn is 6300 W Parker Rd, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Trent Leon Pettijohn |
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Address | 6300 W Parker Rd, Plano, Texas |
Phone Number | 4698004400 |
Fax Number | 4698004410 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1265468706 |
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Provider Enumeration Date | 2006-06-25 |
Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
Address | 6300 W Parker Rd |
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City | Plano |
State | Texas (TX) |
Post Code | 750938100 |
Phone Number | 4698004400 |
Fax Number | 4698004410 |
Provider's Primary Taxonomy Detail
Speciality | Nuclear Cardiology |
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Taxonomy | 207Un0901X |
Licence No | J4433 |
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8CX370 | TX | BCBSTX | |
36498603 | TX | -- | |
36498604 | TX | -- | |
36498602 | TX | -- | |
36498605 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Trent Leon Pettijohn?
The Trent Leon Pettijohn has been issued the NPI (National Provider Identifier) 1265468706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Trent Leon Pettijohn by the Centers for Medicare & Medicaid Services?
The Trent Leon Pettijohn has been assigned the NPI (National Provider Identifier) 1265468706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Trent Leon Pettijohn?
The Trent Leon Pettijohn is situated at 6300 W Parker Rd, in the city of Plano, state of TX, with the zip code 750938100.
What is Trent Leon Pettijohn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Trent Leon Pettijohn is Nuclear Cardiology, and the taxonomy code that classifies this field of practice is 207Un0901X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265468706 to Trent Leon Pettijohn?
The Centers for Medicare & Medicaid Services originally issued the 1265468706 to Trent Leon Pettijohn on 2006-06-25.