IndividualActive
Mitchell Petty
NPI 1407485808 · Urology Physician · Carlsbad, NM
Provider details
- NPI number
- 1407485808
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- DO2025-0162 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2420 W Pierce St Ste 102
Carlsbad, NM 88220-3517
Phone: (575) 887-4100
Approximate (ZIP-level) locationGet directions
Mailing address
419 W San Antonio St
Lockhart, TX 78644-2657
Additional practice locations (1)
- 419 W San Antonio StLockhart, TX 78644-2657Phone: (512) 913-8036
Registry dates
- Enumerated
- 2020-04-07
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.