SearchTexas101YA0400X

Jason Pettit, LCDC, LPO

NPI 1750771473 · on the registry since 2015 · sole proprietor

Practice

Address
1739 W Parnell St
Denison, TX 75020
Phone
(903) 816-2405

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
251S00000X
Sex
Male
Record last updated
2015-02-02

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