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Mitchell Ryan Petty
Student in an Organized Health Care Education/Training Program in Lockhart, Texas
NPI 1407485808

Mitchell Ryan Petty is a Student in an Organized Health Care Education/Training Program based in Lockhart, TX. Mitchell Ryan Petty practices in Lockhart, TX. The NPI Number for Mitchell Ryan Petty is 1407485808 and holds a License No. (Texas).

The current practice location address for Mitchell Ryan Petty is 419 W San Antonio St, Lockhart, TX and can be reached out via phone at 512-913-8036. You can also correspond with Mitchell Ryan Petty through the mailing address at 419 W SAN ANTONIO ST, LOCKHART, TX - 78644-2657 (mailing address contact number: 512-913-8036).

Location: 419 W San Antonio St, Lockhart, TX, 78644-2657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407485808
Provider Name
Mitchell Ryan Petty
Credential
Provider Entity Type
Individual
Gender
Male
Address
419 W San Antonio St, Lockhart, TX, 78644-2657
Phone Number
512-913-8036
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
419 W San Antonio St
City
Lockhart
State
Texas
Zip
78644-2657
Phone Number
512-913-8036
Fax Number
person
Provider Business Mailing Address Details
Address
419 W San Antonio St
City
Lockhart
State
Texas
Zip
78644-2657
Phone Number
512-913-8036
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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