Individual
BRIAN ROBERT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, A-103, DALLAS, TX 75230-2505
(972) 566-7600
(972) 566-6560
Mailing address
7777 FOREST LN, A-103, DALLAS, TX 75230-2505
(972) 566-7600
(972) 566-6560
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G5473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012398
—
VT
01
—
872112
BCBS
TX
Enumeration date
05/04/2006
Last updated
07/09/2007
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