Individual
PETER C WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 S DAUGHERTY AVE, EASTLAND, TX 76448-2609
(254) 629-2601
Mailing address
6131 ROYALTON DR, DALLAS, TX 75230-3443
(214) 987-9820
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H8503
TX
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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