Pendergrass, Peter William

Pendergrass, Peter William is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Pendergrass, Peter William can be contacted via phone (903) 877-7200.

Contact Information

Primary practice address
11937 Us Highway 271 Tyler TX 75708-3154
Phone: (903) 877-7200
Fax: (903) 877-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X H4610 Texas

Profile Details

NPI number 1891850632
LBN Legal business name Pendergrass, Peter William
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Feb 16th, 2022 - about 3 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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