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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386752939 | NPPES |
| Texas | MEDICAID | 186343301 |
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