Peterson, Darryl W.
Peterson, Darryl W. is an individual health care provider with primary practice located at 2803 Earl Rudder Fwy S Ste 103 , College Station TX 77845-6099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Peterson, Darryl W. can be contacted via phone (979) 731-8888.Contact Information
Primary practice address
2803 Earl Rudder Fwy S Ste 103
College Station TX 77845-6099
Phone: (979) 731-8888
Fax: (979) 731-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | K3391 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K3391 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 12182R | Louisiana |
Profile Details
| NPI number | 1174579874 |
|---|---|
| LBN Legal business name | Peterson, Darryl W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 1st, 2023 - about 2 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 | 1174579874 | NPPES |
| Texas | MEDICAID | 370416501 | |
| Texas | MEDICAID | 1543365 |
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