Individual
PETER NOEL VANBUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-1919
(214) 645-1918
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5349
(214) 645-1919
(214) 645-1918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2859
TX
207RN0300X
Nephrology Physician
Primary
N2859
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022915
INSTITUTIONAL PERMIT
—
Enumeration date
06/05/2007
Last updated
07/10/2012
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