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Individual

CARL PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBA, ATP

Contact information

Practice address
16820 BARKER SPRINGS RD, SUITE E500, HOUSTON, TX 77084-5040
(281) 492-2799
Mailing address
PO BOX 218418, HOUSTON, TX 77218-8418
(281) 492-2799
(281) 492-7479

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP85795
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ATP85795
RESNA
TX
Enumeration date
04/14/2015
Last updated
05/15/2015
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