Organization
FOREST PARK PETERS CO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B ROBERT PETERS MD (OWNER)
(214) 315-6432
Entity
Organization
Contact information
Practice address
6125 LUTHER LN, #175, DALLAS, TX 75225-6202
(214) 315-6432
(214) 317-4667
Mailing address
6730 BRADBURY LN, DALLAS, TX 75230-2836
(214) 315-6432
(214) 317-4667
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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