Peterman, Mark A

Peterman, Mark A is an individual health care provider with primary practice located at 6124 W Parker Rd Suite 536, Plano TX 75093-8122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Peterman, Mark A can be contacted via phone (972) 378-9560.

Contact Information

Primary practice address
6124 W Parker Rd Suite 536 Plano TX 75093-8122
Phone: (972) 378-9560
Fax: (844) 290-4363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L3431 Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X L3431 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X L3431 Texas

Profile Details

NPI number 1386752939
LBN Legal business name Peterman, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 19th, 2023 - about last year

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 1386752939 NPPES
Texas MEDICAID 186343301

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