Individual
CAROLYN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 595-5301
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355312503
—
TX
Enumeration date
04/09/2015
Last updated
11/27/2018
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