Organization
EDWARD J PETERS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J PETERS MD (OWNER)
(512) 454-5821
Entity
Organization
Contact information
Practice address
800 W 34TH ST STE 201, AUSTIN, TX 78705-1146
(512) 454-5821
Mailing address
PO BOX 163685, AUSTIN, TX 78716-3685
(512) 454-5821
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
F7045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127399701
—
TX
Enumeration date
08/13/2010
Last updated
08/13/2010
Update your record
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