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Individual

MATTHEW PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
10425 HUFFMEISTER RD STE 320, HOUSTON, TX 77065-3429
(281) 955-2650
(281) 955-5875
Mailing address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
07/19/2016
Last updated
04/28/2022
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