Peters, Brian Robert
Peters, Brian Robert is an individual health care provider with primary practice located at 7777 Forest Ln A-103, Dallas TX 75230-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Peters, Brian Robert can be contacted via phone (972) 566-7600.Contact Information
Primary practice address
7777 Forest Ln A-103
Dallas TX 75230-2505
Phone: (972) 566-7600
Fax: (972) 566-6560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G5473 | Texas |
Profile Details
NPI number | 1124076062 |
---|---|
LBN Legal business name | Peters, Brian Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124076062 | NPPES |
Texas | Other | 872112 | BCBS |
Texas | MEDICAID | 1012398 | BCBS |
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