Pettey, William Robert

Pettey, William Robert is an individual health care provider with primary practice located at 6100 Harris Pkwy #390, Fort Worth TX 76132-4124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Pettey, William Robert can be contacted via phone (817) 370-9011.

Contact Information

Primary practice address
6100 Harris Pkwy #390 Fort Worth TX 76132-4124
Phone: (817) 370-9011
Fax: (817) 346-0380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G8340 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X G8340 Texas

Profile Details

NPI number 1487642450
LBN Legal business name Pettey, William Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487642450 NPPES
Texas MEDICAID 131434601
Texas Other 4254295
Texas Other 91159

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