Individual
DAVID MORGAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1395 SATTLER RD, SUITE 6, CANYON LAKE, TX 78132-2295
(830) 904-4311
(830) 885-5541
Mailing address
504 HOSPITAL DR STE B, CARRIZO SPRINGS, TX 78834-3847
(830) 876-9458
(830) 876-2411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9127
BLUE SHIELD
TX
Enumeration date
04/08/2006
Last updated
01/11/2026
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