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1124019922
PATRICK CALVIN PETRAY
FORT SAM HOUSTON, TX
NPI
1124019922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA03962)
Enumeration Date
2005-10-31
Last Update Date
2020-09-02
Business Address
Mr. PATRICK CALVIN PETRAY EM PA-C
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5152
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Mailing Address
Mr. PATRICK CALVIN PETRAY EM PA-C
24823 TWIN ARROWS
SAN ANTONIO, TX 78258-2748
Phone number: 210-404-9914
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