Most Relevant Information
Provider Data
| NPI Number: | 1003251497 |
| Provider Name: | JAN PETRASEK M.D., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | 27717 |
Most Important Dates
| Enumeration Date: | 04/30/2013 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
5201 HARRY HINES BLVD
GRADUATE MEDICAL EDUCATION
DALLAS
TX
752357708
Practice Location Phone/Fax
| Phone: | 2145908058 |
| Fax: |
Provider Mailing Location
2500 N STATE ST
JACKSON
MS
392164500
Provider Mailing Phone/Fax
| Phone: | 6018154775 |
| Fax: | 6018150434 |
Suggested EMR
Gastroenterology EMR