| NPI | 1699342261 |
|---|---|
| Doing Business As | PETITT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | VANESSA RENEE LARSON Billing 409-291-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-02-05 |