Leonora K Petty is a Psychiatry in Beaumont, Texas. Leonora K Petty practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Leonora K Petty is 1194778894. The last update date is 2022-04-20.
Leonora K Petty's current location address is 2750 S 8th St, Beaumont, Texas. You can contact this provider via phone number 4098391000. The mailing address for Leonora K Petty is 2750 S 8th St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonora K Petty |
|---|---|
| Address | 2750 S 8th St, Beaumont, Texas |
| Phone Number | 4098391000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194778894 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | 2750 S 8th St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777017719 |
| Phone Number | 4098391000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | P6242 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302I269052 | MS | MEDICARE | |
| 109062 | AL | -- | |
| 4428702 | MS | -- | |
| 1014016060001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leonora K Petty by the Centers for Medicare & Medicaid Services?
The Leonora K Petty has been issued the NPI (National Provider Identifier) 1194778894, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Leonora K Petty is physically located?
The Leonora K Petty is physically situated at the following address: 2750 S 8Th St, Beaumont, TX, 777017719.
What is the Leonora K Petty's specialty and taxonomy code?
The Leonora K Petty's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Leonora K Petty receive its 1194778894 assignment from the Centers for Medicare & Medicaid Services?
The Leonora K Petty was assigned its 1194778894 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date was the information pertaining to Leonora K Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leonora K Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-20.