Organization
PETERS AND TODAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL BAILEY PETERS PHD (MANAGER)
(254) 694-0858
Entity
Organization
Contact information
Practice address
203 E JEFFERSON AVE, SUITE A, WHITNEY, TX 76692-2302
(254) 694-9457
(270) 573-7794
Mailing address
126 GIANT CEDAR DR, WHITNEY, TX 76692-2253
(254) 694-0858
(270) 573-7794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280488201
—
TX
Enumeration date
11/02/2011
Last updated
11/02/2011
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