Lone Star Progressive Medicine of Burleson PA
NPI 1437668951ActiveOrganization· General Practice· Burleson, TX
General Practice in Burleson, Texas, registered in NPPES in September 2017. The authorized official on file is Michael Brandon Pettke, DC, Owner/Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437668951 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Feb 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other general practitioners in Burleson
- 1275979189
- 1629290929
- 1710432125
- 1780536722