JEFFREY PETTY, DPM, PA
Suppliers at 7 Ave, Corsicana, TX

License number
Texas 1499
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: DR. JEFFREY SCOTT PETTY DPM
Title: OWNER
Phone: (903) 872-9910
Address
Address
3229 W 7Th Ave, Corsicana, TX 75110
National Provider ID: 1982628533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFREY PETTY, DPM, PA

Corsicana, TX

Status:
Inactive
Doing business as:
Jeffrey Petty, Dpm, PA
Registration:
Sep 16, 2005
Addresses:
3229 W 7 Ave, Corsicana, TX 75110 (Mailing)
1321 W 2 Ave, Corsicana, TX 75110
State ID:
0800546471
Business type:
Professional Association
Treasurer , Director , Secretary , Vice-Presidents:
Jeffrey S. Petty President, Director , Member, Secretary, inactive,Deborah R. Petty Treasurer , Director , Secretary , Vice-President, inactive
Agent:
Deborah Petty,3229 W 7 Ave, Corsicana, TX 75110 (Physical)
TIN:
32035331324

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