Individual provider · Type 1 NPI

Daniel Petr, PA-C

Medical Physician Assistant · Fort Worth, TX

NPI number 1023345436 Active

Practice location

709 W Leuda St
Fort Worth, TX 76104-3115

Fax (817) 924-0167

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA04844 (TX)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1023345436

Daniel Petr, PA-C's National Provider Identifier is 1023345436, issued on Nov 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 5, 2009.