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Individual

MRS. BRITTANY ALESE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2201 MAIN STREET SUITE 214, DALLAS, TX 75201
(972) 349-9211
(972) 349-9255
Mailing address
2201 MAIN STREET SUITE 214, DALLAS, TX 75201
(972) 349-9211
(972) 349-9255

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
662870
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1743544-01
TX
01
8N8485
BCBS
TX
Enumeration date
05/04/2006
Last updated
04/07/2022
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