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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 Pllc
Inferred 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