Individual
DR. PAT ANDREW PETERS
Active
Individual
DR. PAT ANDREW PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G5475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114110302
—
TX
01
—
82X720
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/08/2005
Last updated
01/02/2020
Update your record
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