Peterson, Darren L
Peterson, Darren L is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Peterson, Darren L can be contacted via phone (806) 414-9558.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 414-9558
Fax: (806) 354-5693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME95971 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Q2367 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | Q2367 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | Q2367 | Texas |
Profile Details
| NPI number | 1164538914 |
|---|---|
| LBN Legal business name | Peterson, Darren L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Mar 31st, 2015 - about 9 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 | 1164538914 | NPPES |
| New Mexico | MEDICAID | 32522746 | |
| New Mexico | MEDICAID | 342173702 | |
| New Mexico | MEDICAID | 2768488-00 | |
| New Mexico | MEDICAID | 342173701 | |
| New Mexico | MEDICAID | 454214962A | |
| New Mexico | MEDICAID | 200565240 A | |
| New Mexico | Other | 40181D |
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