P Praxis·MD
● Active Type 1 · Individual

Peter Michael Petrillo, DO

Student in an Organized Health Care Education/Training Program·Galveston, TX· NPI 1841320561 · Enumerated 2007 · 19 years on NPI
Petrillo is 1 of 121 student in an organized health care education/training program providers in Galveston and 1 of 17977 in Texas.
NPI age
19 years
Enumerated 2007-03-06
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 4 subspecialties
Licensed in
CA, AZ, CT
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-05-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 17977 active student in an organized health care education/training program providers in Texas.

NPI age
19 years
↑ 17 yr above median (2 yr)
State licenses
3 states
Top 99% — 0% of peers are multi-state
Subspecialties
2
In the 6% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
301 University Blvd, 5.504 Jennie Sealy Hospital
Galveston, TX 775550877
📞 4092667856fax 6029384401
Mailing address
Po Box 650859, Department 710
Dallas, TX 752650859
📞 4097722222

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    CA license #PA22937AZ license #7881 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    CT license #001288CA license #PA22937 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 1575 other active providers share this practice address in NPPES.

Recently enumerated nearby: 14 new student in an organized health care education/training program providers have been added in Galveston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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