Organization
GREGORY D PETER D.C. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DALE PETER DC (PRESIDENT)
(936) 291-2111
Entity
Organization
Contact information
Practice address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Mailing address
901 NORMAL PARK DR, SUITE 201, HUNTSVILLE, TX 77320-3770
(936) 291-2111
(936) 291-0665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TX2637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600912
MEDICARE PTAN
TX
Enumeration date
08/21/2013
Last updated
08/26/2013
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