Peterson, Ryan Paul
Peterson, Ryan Paul is an individual health care provider with primary practice located at 2100 Autumn Slate Dr Ste 150 , Pflugerville TX 78660-6034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Peterson, Ryan Paul can be contacted via phone (737) 220-7200.Contact Information
Primary practice address
2100 Autumn Slate Dr Ste 150
Pflugerville TX 78660-6034
Phone: (737) 220-7200
Fax: (512) 406-7339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | NO LICENSE YET | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | NO LICENSE YET | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R5796 | Texas |
Profile Details
| NPI number | 1598109480 |
|---|---|
| LBN Legal business name | Peterson, Ryan Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2013 |
| Last updated | Oct 25th, 2019 - about 5 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 | 1598109480 | NPPES |
| Texas | MEDICAID | 384811101 | |
| Texas | MEDICAID | 384811102 |
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