LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA

BURLESON, TX
NPI1437668951
Entity TypeOrganization
Authorized ContactMICHAEL BRANDON PETTKE
Owner/Authorized Official
817-297-7100
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2017-09-27
Last Update Date2022-07-21
Business Address
LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA
1320 NW JOHN JONES DR
BURLESON, TX 76028-8040
Phone number: 817-297-7100
Mailing Address
LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA
1320 NW JOHN JONES DR
BURLESON, TX 76028-8040
Phone number: 817-297-7100