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William Christopher Petty, PA-C
Military Health Care Provider in Biggs Field, Texas
NPI 1700355237

William Christopher Petty is a Military Health Care Provider based in Biggs Field, TX. William Christopher Petty practices in Biggs Field, TX and has the professional credentials of PA-C. The NPI Number for William Christopher Petty is 1700355237 and holds a License No. (Texas).

The current practice location address for William Christopher Petty is 21227 Torch Street, Biggs Field, TX and can be reached out via phone at 915-742-4248.

Location: 21227 Torch Street, Biggs Field, TX, 79918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700355237
Provider Name
William Christopher Petty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
21227 Torch Street, Biggs Field, TX, 79918
Phone Number
915-742-4248
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1158126 01 NCCPA IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
21227 Torch Street
City
Biggs Field
State
Texas
Zip
79918
Phone Number
915-742-4248
Fax Number
person
Provider Business Mailing Address Details
Address
21227 Torch Street
City
Biggs Field
State
Texas
Zip
79918
Phone Number
915-742-4248
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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