Peters, Theodore Thomas

Peters, Theodore Thomas is an individual health care provider with primary practice located at 2535 Ira E Woods Avenue , Grapevine TX 76051-3930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Peters, Theodore Thomas can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Avenue Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F4371 Texas
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X F4371 Texas

Profile Details

NPI number 1922004472
LBN Legal business name Peters, Theodore Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 27th, 2020 - about 4 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 1922004472 NPPES
Texas MEDICAID 099325501
Texas Other 82X722

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