Alexandre A Petrakian MD

NPI 1811987654 - Internal Medicine - 207RC0001X

NPI Details
NPI 1811987654
Gender Male
Enumeration Date 10/24/2005
Last Updated 11/30/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1783 TROUP HWY
TYLER TX, 75701-5869, US
Phone (903) 595-2283
Fax (903) 595-1063
Business Location
1783 TROUP HWY
TYLER TX, 75701-5869, US
Phone (903) 595-2283
Fax (903) 595-1063
Toxanomy
Taxonomy Code 207RC0001X
License State Texas
License Number K6234
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According to our database, Alexandre A Petrakian MD NPI is 1811987654, taxonomy code is 207RC0001X and license number is K6234, license state is located at Texas. Alexandre A Petrakian MD physically located at 1783 Troup Hwy, Tyler TX, 75701-5869. NPI Number Alexandre A Petrakian MD has the Individual type.

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1811987654 NPI number is provided on an as is basis without warranty of any kind. 1811987654 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandre A Petrakian MD are for informational purposes only.