William Petricone, RN

NPI 1740087212 · on the registry since 2025

Practice

Address: 3418 N Lamar Blvd Ste 100
Austin, TX 78705
Phone: (512) 244-4272
Fax: (512) 244-2895
Organisation at this address: Mark Malone Md Pa
Shoal Creek Pharmacy Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 364SG0600X
364SG0600X
Also registered as: 163W00000X
364S00000X
390200000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-29

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