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Organization
GLENDA JEAN PETERS-DO, M.D., P.A.
Active
Organization
GLENDA JEAN PETERS-DO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA JEAN PETERS-DO MD (DIRECTOR)
(361) 992-9300
Entity
Organization
Contact information
Practice address
527 GORDON ST, SUITE C, CORPUS CHRISTI, TX 78404-2535
(361) 992-9300
(361) 992-9302
Mailing address
6121 CORALRIDGE DR, CORPUS CHRISTI, TX 78413-3135
(361) 992-9300
(361) 992-9302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00570V
MEDICARE GROUP
TX
01
—
1033135876
INDIV NPI
TX
Enumeration date
01/15/2008
Last updated
01/15/2008
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