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1023345436
DANIEL PETR
FORT WORTH, TX
NPI
1023345436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA04844)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
-- DANIEL PETR PA-C
709 W LEUDA ST
FORT WORTH, TX 76104-3115
Phone number: 817-926-2511
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Mailing Address
-- DANIEL PETR PA-C
709 W LEUDA ST
FORT WORTH, TX 76104-3115
Phone number: 817-926-2511
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