Individual
MR. JOHN A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNP BC (APRN)
Contact information
Practice address
610 STICKLAND, SUITE 320, ORANGE, TX 77611
(409) 883-5300
(409) 883-5394
Mailing address
610 STICKLAND, SUITE 320, ORANGE, TX 77630
(409) 883-5300
(409) 883-5394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
596368
TX
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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