Peterson, Dolores M
Peterson, Dolores M is an sole proprietor health care provider with primary practice located at 4403 Silverwood Dr , Houston TX 77035-3635. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Peterson, Dolores M can be contacted via phone (214) 912-9028.Contact Information
Primary practice address
4403 Silverwood Dr
Houston TX 77035-3635
Phone: (214) 912-9028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | H3927 | Texas |
Profile Details
| NPI number | 1295794329 |
|---|---|
| LBN Legal business name | Peterson, Dolores M |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Nov 29th, 2011 - about 13 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 | 1295794329 | NPPES |
| Texas | MEDICAID | 119079503 |
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