Individual
DR. MARK A PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6124 W PARKER RD, SUITE 536, PLANO, TX 75093-8122
(972) 378-9560
(844) 290-4363
Mailing address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(972) 378-9560
(844) 290-4363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L3431
TX
207RI0011X
Interventional Cardiology Physician
Primary
L3431
TX
207UN0901X
Nuclear Cardiology Physician
L3431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186343301
—
TX
Enumeration date
08/25/2006
Last updated
05/19/2023
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