Individual
DR. GREGORY D PETER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Mailing address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600912
BCBS PROVIDER NUMBER
TX
05
—
C06009127
—
TX
Enumeration date
07/13/2005
Last updated
07/09/2007
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