Jean Petershack
Pediatric Neonatal-Perinatal Medicine | Female
Jean Petershack is a San Antonio, Texas based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Jean Petershack is
7703 Floyd Curl Dr, San Antonio, Texas - 78229-3901. She can be contacted on phone at
210-257-1400.
Jean Petershack is a sole proprietor of her business.
NPI number (Unique professional ID) for Jean Petershack is
1750391165 which was assigned by NPPES on 08 Aug, 2006 and it was last updated on 17 Jun, 2008.
Jean Petershack license number is
J2971 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Texas.
Jean Petershack is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Jean Petershack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Jean Petershack |
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| Gender : | Female |
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Business Address:
Jean Petershack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7703 Floyd Curl Dr
San Antonio, TX, 78229-3901
United States |
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| Phone Number : | 210-257-1400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750391165 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Aug, 2006 |
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| Last Updated On : | 17 Jun, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jean Petershack are as mentioned. Primary taxonomy code for Jean Petershack is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | J2971 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Jean Petershack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 044835902 | MEDICAID | TX | |
| 044835901 | Other | TX | CIDC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7703 Floyd Curl Dr
San Antonio, TX, 78229-3901
United States |
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Business Location:
Patients can refer following map for directions to
Jean Petershack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.