Pietsch, Darrell R

Pietsch, Darrell R is an individual health care provider with primary practice located at 6600 Fish Pond Rd Ste 202A , Waco TX 76710-2582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pietsch, Darrell R can be contacted via phone (254) 732-6789.

Contact Information

Primary practice address
6600 Fish Pond Rd Ste 202A Waco TX 76710-2582
Phone: (254) 732-6789
Fax: (254) 732-6790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7867 Texas

Profile Details

NPI number 1780689992
LBN Legal business name Pietsch, Darrell R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 8th, 2010 - about 15 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780689992 NPPES
Texas Other 8BZ212 BCBS
Texas MEDICAID 103631105 BCBS
Texas Other 8L10057 BCBS
Texas MEDICAID 103631103 BCBS

Popular Providers