Obesso, Peter Daniel

Obesso, Peter Daniel is an sole proprietor health care provider with primary practice located at 120 E Charnwood St Suite B, Tyler TX 75701-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Obesso, Peter Daniel can be contacted via phone (903) 525-1664.

Contact Information

Primary practice address
120 E Charnwood St Suite B Tyler TX 75701-1708
Phone: (903) 525-1664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X P7011 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X OS11800 Florida

Profile Details

NPI number 1356577787
LBN Legal business name Obesso, Peter Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2009
Last updated Oct 13th, 2014 - about 10 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 1356577787 NPPES
Texas Other 752616977028 TRICARE
Texas Other 752616977002 TRICARE
Texas Other 752616977001 TRICARE
Texas Other P01246236 TRICARE
Texas MEDICAID 323899001 TRICARE
Texas Other 75-2616977-120 TRICARE
Texas Other 752616977015 TRICARE

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