Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan Karel Petric, CO

Individual provider Orthotist · NPI 1275239113

Jan Karel Petric, CO is an Orthotist in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6011 Harry Hines Blvd
Dallas, TX 75235-5386
Phone: (214) 645-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 2128 (TX)
Orthotist Taxonomy 222Z00000X · Licence 2128 (TX)

Record details

NPI number1275239113
Entity typeIndividual (Type 1)
GenderMale
Credentials CO
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateNovember 23, 2022
Mailing address3030 Hester Ave Apt 509, Dallas, TX 75205-3673

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