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Contact Information

JAMES J PETRIKAS SR, DO
4708 ALLIANCE BLVD STE 150
PLANO, TX75093-5339
 Phone: 972-596-7801
 Fax: 972-596-9307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JAMES J PETRIKAS SR · (Male)

NPI # 1356362719
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/21/2006
Last updated 05/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125-042933
  • TX License # M4442
  • OK Medicaid 200123060A
  • TX Medicaid 181896501
  • TX Medicaid 181896502
  • TX Medicaid 181896503
  • TX Other 8W1133 BCBS
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
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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