Individual
ERIC PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-0001
(972) 743-1768
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(919) 724-7226
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
S9585
TX
Other
Enumeration date
10/25/2006
Last updated
01/25/2021
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