Peters, Brian Robert

Peters, Brian Robert is an individual health care provider with primary practice located at 7777 Forest Ln A-103, Dallas TX 75230-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Peters, Brian Robert can be contacted via phone (972) 566-7600.

Contact Information

Primary practice address
7777 Forest Ln A-103 Dallas TX 75230-2505
Phone: (972) 566-7600
Fax: (972) 566-6560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G5473 Texas

Profile Details

NPI number 1124076062
LBN Legal business name Peters, Brian Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124076062 NPPES
Texas Other 872112 BCBS
Texas MEDICAID 1012398 BCBS

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