MICHAEL D. PETTIBON

DALLAS, TX
NPI1699752097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: TX  H0722)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: TX  H0722)
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: TX  H0722)
Enumeration Date2005-12-27
Last Update Date2020-07-01
Business Address
Dr. MICHAEL D. PETTIBON M.D.
6606 LBJ FWY STE 200
DALLAS, TX 75240
Phone number: 972-715-5000
Mailing Address
Dr. MICHAEL D. PETTIBON M.D.
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-715-5000