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NPI Profile for KEITH PETTIBON in FORT WORTH, TX.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI # | 1467744573 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/07/2011 | |
| Last updated | 06/13/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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KEITH PETTIBON
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| HEALTH IMAGING PARTNERS, LLC 2911 OAK PARK CIRCLE FORT WORTH, TX |
KEITH PETTIBON, MD