Individual
DR. JAMES DAVID PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2740 N HWY 360, SUITE 100, GRAND PRAIRIE, TX 75050-6403
(972) 606-8300
(972) 606-4940
Mailing address
2740 N HWY 360, SUITE 100, GRAND PRAIRIE, TX 75050-6403
(972) 606-8300
(972) 606-4940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114408101
—
TX
01
—
87812F
BCBS
TX
Enumeration date
05/25/2006
Last updated
04/15/2014
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