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Contact Information

MATTHEW S PETITT, DO
4419 CRENSHAW RD
PASADENA, TX77504-3628
 Phone: 281-991-5944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MATTHEW S PETITT · (Male)

NPI # 1912101593
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2007
Last updated 06/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M2750
  • Other 3853003243 MYUTMB 3853003243-COMMERCIAL NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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