Individual
THOMAS PETERSON
Active
Individual
THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13523
TX
111NR0400X
Rehabilitation Chiropractor
Primary
13523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111N00000X
CHIROPRACTOR
TX
Enumeration date
11/07/2017
Last updated
02/20/2026
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