Individual
TAGGART PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 N GOLIAD ST STE 105, ROCKWALL, TX 75087-2573
(972) 532-8997
Mailing address
103 N GOLIAD ST STE 105, ROCKWALL, TX 75087-2573
(972) 532-8997
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
TX
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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