Peterson, Phyllis Rose

Peterson, Phyllis Rose is an individual health care provider with primary practice located at Ttuhsc Dept Of Psychiatry 3601 4Th St., Ms 8103, Lubbock TX 79430-8103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Phyllis Rose can be contacted via phone (806) 743-2800.

Contact Information

Primary practice address
Ttuhsc Dept Of Psychiatry 3601 4Th St., Ms 8103 Lubbock TX 79430-8103
Phone: (806) 743-2800
Fax: (806) 743-2784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01015 Texas

Profile Details

NPI number 1346246634
LBN Legal business name Peterson, Phyllis Rose
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated May 19th, 2015 - about 11 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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