Individual
MRS. DENISE K PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
902 W RANDOL MILL RD, STE 200, ARLINGTON, TX 76012-2572
(817) 461-3003
(817) 275-2525
Mailing address
16980 DALLAS PKWY, STE 200, DALLAS, TX 75248-1908
(817) 461-3003
(817) 469-6156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
52094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187125301
—
TX
Enumeration date
10/26/2006
Last updated
12/08/2016
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