Dr. Trent Leon Pettijohn
Internist Nuclear Medicine Specialist Internist - Cardiovascular Disease
6300 W Parker Rd Mob Ii 125
Plano
, Texas 75093-8100
Dr. Trent Leon Pettijohn
Internist Nuclear Medicine Specialist Internist - Cardiovascular Disease
6300 W Parker Rd Mob Ii 125
Plano
, Texas 75093-8100
(469) 800-4410
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Trent Leon Pettijohn
- 6300 W Parker Rd Mob Ii 125
- Plano, TX
- Zip : 75093-8100
- Fax : (469) 800-4410
- Phone : (469) 800-4400
Second Address
- Dr. Trent Leon Pettijohn
- 6300 W Parker Rd Mob Ii 125
- Plano, TX
- Zip : 75093-8100
- Fax : (469) 800-4410
- Phone : (469) 800-4400
Reviews
FAQs
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Is Dr. Trent Leon Pettijohn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | J4433 | TX |
| N | 111NI0900X | Internist | J4433 | TX |
| Y | 207RC0000X | Internist - Cardiovascular Disease | J4433 | TX |
| N | 207U00000X | Nuclear Medicine Specialist | J4433 | TX |
National Provider Identifier
| NPI | 1265468706 |
|---|---|
| Provider Name | Dr. Trent Leon Pettijohn |
| First Address | Plano, TX 75093-8100 |
| Second Address | Plano, TX 75093-8100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2006 |
| Last Update Date | 30/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036498602 | (05) | TX |
| 036498603 | (05) | TX |
| 036498604 | (05) | TX |
| 036498605 | (05) | TX |
| 8CX370 | BCBSTX (01) | TX |
| G70165 | (02) | TX |
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.