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James C Pettit

Family Doctor Family Doctor - Hospice and Palliative Medicine

1700 Brazos Ave
Rockdale , Texas 76567-2517

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Hospice and Palliative Medicine

Languages spoken

  • English

Location

1700 Brazos Ave Rockdale , Texas 76567-2517

First Address

  • James C Pettit
  • 3721 Herwol Ave
  • Waco, TX
  • Zip : 76710-7218
  • Phone :

Second Address

  • James C Pettit
  • 1700 Brazos Ave
  • Rockdale, TX
  • Zip : 76567-2517
  • Phone : (512) 446-4500

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FAQs


Where did James C Pettit attend graduate school?

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Where did James C Pettit do his residency?

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Where did James C Pettit do his fellowship?

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Is James C Pettit board certified?

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What type of doctor is James C Pettit

Family Doctor

In what state does James C Pettit practice in?

Texas

Where is James C Pettit ’s practice located?

1700 Brazos Ave , Rockdale, Texas, 76567-2517

What is James C Pettit ’s gender?

Male

Is James C Pettit a sole practitioner?

No

Is James C Pettit accepting new patients?

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What languages does James C Pettit speak?

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Does James C Pettit accept insurance?

Yes, James C Pettit accepts insurance

Does James C Pettit offers telemedicine?

James C Pettit has not indicated if he offers telemedicine

What is James C Pettit ’s professional license number?

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What is James C Pettit ’s NPI number?

1265450175

Does James C Pettit have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor F9947 TX
N 207QH0002X Family Doctor - Hospice and Palliative Medicine F9947 TX

National Provider Identifier

NPI 1265450175
Provider Name James C Pettit
First Address Waco, TX 76710-7218
Second Address Rockdale, TX 76567-2517
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 18/07/2006
Last Update Date 10/06/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
140233137 (05) TX
140233138 (05) TX
8U8772 BCBS (01) TX
D97620 (02) TX

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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