Search › Texas › 363A00000X
Bonny Petty, PA-C
NPI 1194094961 · on the registry since 2011
Practice
- Address
- 3001 Joe Dimaggio Blvd Ste 900b
Round Rock, TX 78665 - Phone
- (512) 729-1800
- Organisation at this address
- Angelheart, Inc.
Oral Solutions Lllp
Elevate Mental Health PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas