Individual
DR. PETER TIMOTHY PERRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7750
Mailing address
45 N.E. LOOP 410N #900, SAN ANTONIO, TX 78216
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F4367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361974-02
—
TX
Enumeration date
12/02/2005
Last updated
02/13/2014
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