Peters, Pat Andrew

Peters, Pat Andrew is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Peters, Pat Andrew can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Ave Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G5475 Texas

Profile Details

NPI number 1417955907
LBN Legal business name Peters, Pat Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 2nd, 2020 - about 6 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 1417955907 NPPES
Texas MEDICAID 114110302
Texas Other 82X720

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