Edward J Petrus in Austin - General Practice

Edward J Petrus - NPI 1821172289

Edward J Petrus is a General Practice in Austin, Texas. Edward J Petrus practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward J Petrus is 1821172289. The last update date is 2007-07-08.

Edward J Petrus's current location address is 3413 Spanish Oak Dr, Austin, Texas. You can contact this provider via phone number 5124546500 and fax number 5124530066. The mailing address for Edward J Petrus is 3413 Spanish Oak Dr, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward J Petrus
Address 3413 Spanish Oak Dr, Austin, Texas
Phone Number 5124546500
Fax Number 5124530066
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821172289
Provider Enumeration Date 2006-10-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3413 Spanish Oak Dr
City Austin
State Texas (TX)
Post Code 78731
Phone Number 5124546500
Fax Number 5124530066

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No D6520
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Edward J Petrus

What is the unique identification code assigned to Edward J Petrus by the Centers for Medicare & Medicaid Services?

The Edward J Petrus has been issued the NPI (National Provider Identifier) 1821172289. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Edward J Petrus?

The Edward J Petrus is physically situated at 3413 Spanish Oak Dr, in the city of Austin, state of TX, with the postal code 78731.

What is Edward J Petrus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Edward J Petrus's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Edward J Petrus receive the assignment of its 1821172289 from the Centers for Medicare & Medicaid Services?

The Edward J Petrus was issued its 1821172289 by the Centers for Medicare & Medicaid Services on 2006-10-24.

When was the information pertaining to Edward J Petrus most recently updated or revised?

The details related to Edward J Petrus, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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