DANIEL PETR

FORT WORTH, TX
NPI1023345436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: TX  PA04844)
Enumeration Date2009-11-05
Last Update Date2009-11-05
Business Address
DANIEL PETR PA-C
709 W LEUDA ST
FORT WORTH, TX 76104-3115
Phone number: 817-926-2511
Mailing Address
DANIEL PETR PA-C
709 W LEUDA ST
FORT WORTH, TX 76104-3115
Phone number: 817-926-2511