Individual
PAUL C PETERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Mailing address
9301 N CENTRAL EXPY STE 400, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
101043615
VA
207X00000X
Orthopaedic Surgery Physician
Primary
G8339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103191601
—
TX
01
—
200014314
RAILROAD MEDICARE
TX
Enumeration date
01/04/2007
Last updated
08/09/2019
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