MEDICARE: REBEKAH J PETTY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	612188	TX

General Provider Information

NPI Number	:	1407126865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH J PETTY NP

Provider Business Mailing Address
First Line	:	1515 N TOWN EAST BLVD
Second Line	:	SUITE 138-209
City	:	MESQUITE
State	:	TX
Zip	:	75150-4157
Country	:	US
Telephone Number	:	214-537-7220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N TOWN EAST BLVD
Second Line	:	SUITE 138-209
City	:	MESQUITE
State	:	TX
Zip	:	75150-4157
Country	:	US
Telephone Number	:	214-537-7220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	01/03/2012

Similar Medicare Providers

1508865395 — MS. LORI ANNA DEES DDS
Practice Location Address:

1515 N TOWN EAST BLVD , #142
MESQUITE, TX
75150-4157

Practice Phone: 972-270-4456
Practice Fax: 972-270-4042

1760517189 — DR. NATALYA LESNIKOVSKAYA D.D.S.
Practice Location Address:

1515 N TOWN EAST BLVD
MESQUITE, TX
75150-4157

Practice Phone: 972-686-1955
Practice Fax: 972-686-0926

1295958338 — BRACEPRO
Practice Location Address:

1515 N TOWN EAST BLVD # 138-315
MESQUITE, TX
75150-4157

Practice Phone: 972-762-0995
Practice Fax:

1225329626 — EYEMAX OPTICAL INC.
Practice Location Address:

1515 N TOWN EAST BLVD , SUITE 523
MESQUITE, TX
75150-4157

Practice Phone: 972-850-8001
Practice Fax:

1093083636 — US VISION GROUP LLC
Practice Location Address:

1515 N TOWN EAST BLVD , SUITE 523B
MESQUITE, TX
75150-4157

Practice Phone: 972-638-8600
Practice Fax:

1093131088 — AMERICA'S BEST CONTACTS & EYEGLASSES
Practice Location Address:

1515 N TOWN EAST BLVD
MESQUITE, TX
75150-4157

Practice Phone: 469-608-2654
Practice Fax: 469-608-2659

Directions to “ REBEKAH J PETTY NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.