Larry Pettit DO PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K6235 Issued in TX

Legal business name

LARRY PETTIT DO PA

Practice address

6300 W Parker Rd
Suite 128
Plano, TX 75093-8100

Phone

(972) 981-8658

Fax

(972) 981-8657

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry A Pettit, DO

Title

President

Phone

(972) 981-8658

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1952671638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-981-8658",
            "fax_number": "972-981-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "SUITE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-981-8658",
            "fax_number": "972-981-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY PETTIT DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-981-8658",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lara
• Cindy Lara, LPA, LSSP, NCSP
• Denise Larkin, M.A., BCBA
• Chelsie Marie Larose, DC
• Larry D Whiting DDS PC
• Larry Warner, D.C., P.a.
• Amy Larsen, PT
• Karen Larsen, OT
• Bella Jeanna Larson
• Erin Larue, CCC-SLP

• Emergency Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.