Larry D Petty, MD | |
120 E Beauregard Ave, San Angelo, TX 76903-5919 | |
(325) 658-1511 | |
Not Available |
Full Name | Larry D Petty |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 120 E Beauregard Ave, San Angelo, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578526331 | NPI | - | NPPES |
126210105 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D2555 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry D Petty, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Larry D Petty, MD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 658-1511 |
Robert Hamblen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Jonathan S Gipson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Emily Michelle Dodd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Kaylee Waldrep, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
David Allen Vance, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76902 Phone: 325-658-1511 | |
Dr. Marius Vulcan, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5320 | |
Jacob Burton, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-747-3408 Fax: 325-747-2525 |