Individual
KEVIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 RODGER BROOKE DR, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-8666
(210) 916-8712
Mailing address
3551 RODGER BROOKE DR, ANESTHESIA RESIDENCY, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-8666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S0534
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
S0534
TX
208D00000X
General Practice Physician
S0534
TX
Other
Enumeration date
02/27/2017
Last updated
06/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us