Individual
KENDALL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
7777 FOREST LN STE B107, DALLAS, TX 75230-6888
(972) 566-7300
(972) 566-7313
Mailing address
7777 FOREST LN STE B107, DALLAS, TX 75230-6888
(972) 566-7300
(972) 566-7313
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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