Individual
JOHN MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 HOSPITAL PARKWAY, BEDFORD, TX 76022
(214) 638-2000
(214) 631-6724
Mailing address
1355 RIVER BEND DRIVE, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N1834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022467
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
08/05/2010
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