Individual
JARROD A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY STE 570, AUSTIN, TX 78705-1024
(512) 454-2554
(512) 454-2824
Mailing address
PO BOX 840853, DALLAS, TX 75284-5259
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1003541
TX
367500000X
Certified Registered Nurse Anesthetist
19605
TN
Other
Enumeration date
02/06/2015
Last updated
10/12/2020
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