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Joseph Lee Petty, MD
Obstetrics & Gynecology Physician in Tyler, Texas
NPI 1649461211

Joseph Lee Petty is a Obstetrics & Gynecology Physician based in Tyler, TX. Joseph Lee Petty practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Joseph Lee Petty is 1649461211 and holds a License No. N6579 (Texas).

The current practice location address for Joseph Lee Petty is 928 N Glenwood Blvd, Tyler, TX and can be reached out via phone at 903-535-9041 and via fax at 903-533-0726.

Location: 928 N Glenwood Blvd, Tyler, TX, 75702-8204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649461211
Provider Name
Joseph Lee Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
928 N Glenwood Blvd, Tyler, TX, 75702-8204
Phone Number
903-535-9041
Fax Number
903-533-0726
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215374402 05 TX
TXB102462 01 TX MEDICARE GROUP PTAN
295206101 01 TX MEDICAID GROUP NUMBER
TXB146789 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
928 N Glenwood Blvd
City
Tyler
State
Texas
Zip
75702-5055
Phone Number
903-535-9041
Fax Number
903-533-0726
person
Provider Business Mailing Address Details
Address
928 N Glenwood Blvd
City
Tyler
State
Texas
Zip
75702-5055
Phone Number
903-535-9041
Fax Number
903-533-0726
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
N6579 (Texas)
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 a primary physician for women.
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