Dr. Jan Petrasek
Internist Gastroenterologist
5201 Harry Hines Blvd Graduate Medical Education
Dallas
, Texas 75235-7708
Dr. Jan Petrasek
Internist Gastroenterologist
5201 Harry Hines Blvd Graduate Medical Education
Dallas
, Texas 75235-7708
(601) 815-0434
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Jan Petrasek
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-0434
- Phone : (601) 815-4775
Second Address
- Dr. Jan Petrasek
- 5201 Harry Hines Blvd Graduate Medical Education
- Dallas, TX
- Zip : 75235-7708
- Phone : (214) 590-8058
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 27717 | MS |
| Y | 111NI0900X | Internist | 27717 | MS |
| N | 207RG0100X | Gastroenterologist | 27717 | MS |
National Provider Identifier
| NPI | 1003251497 |
|---|---|
| Provider Name | Dr. Jan Petrasek |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Dallas, TX 75235-7708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2013 |
| Last Update Date | 16/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.