NPI 1336476514

Trey Colin Petty, RTR

Practitioner Radiography Radiologic Technologist Lubbock, TX

Practice location

Address: 4508 37th St, Lubbock, TX 79414-2615
Phone: (806) 778-8017

Registered specialties (4)

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 23364 (TX)

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Registry record

NPI: 1336476514
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2009
Record last updated: 10 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.