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Individual
MARK T. PETERS
Active
Individual
MARK T. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G3686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137685171
—
TX
05
—
137685711
—
TX
05
—
137685713
—
TX
05
—
137685714
—
TX
05
—
137685715
—
TX
05
—
137685716
—
TX
05
—
137685718
—
TX
05
—
8F9143
—
TX
Enumeration date
01/24/2006
Last updated
02/27/2024
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