Peterson, David Morgan

Peterson, David Morgan is an individual health care provider with primary practice located at 1395 Sattler Rd Suite 6, Canyon Lake TX 78132-2295. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, David Morgan can be contacted via phone (830) 904-4311.

Contact Information

Primary practice address
1395 Sattler Rd Suite 6 Canyon Lake TX 78132-2295
Phone: (830) 904-4311
Fax: (830) 885-5541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03914 Texas

Profile Details

NPI number 1801859129
LBN Legal business name Peterson, David Morgan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1801859129 NPPES
Texas Other 8N9127 BLUE SHIELD

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