Individual
DR. PETER A COLDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 S STATE HIGHWAY 16, EMERGENCY DEPARTMENT, FREDERICKSBURG, TX 78624-4471
(830) 997-1276
Mailing address
1020 S STATE HIGHWAY 16, EMERGENCY DEPARTMENT, FREDERICKSBURG, TX 78624-4471
(830) 997-1276
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
K9757
TX
207Q00000X
Family Medicine Physician
K9757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042953201
—
TX
01
—
K9757
STATE MEDICAL LICENSE
TX
Enumeration date
08/25/2006
Last updated
01/02/2013
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