Individual
DOUGLAS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 SCOTT AND WHITE DR, KILLEEN, TX 76543-5252
(254) 680-1100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11732
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2016
Last updated
01/27/2022
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