Peterson, Wylan Cornelius

Peterson, Wylan Cornelius is an individual health care provider with primary practice located at 3551 Roger Brooke Dr Att'N Ms. Shawana Judge, Fort Sam Houston TX 78234-4504. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Peterson, Wylan Cornelius can be contacted via phone (210) 916-1064.

Contact Information

Primary practice address
3551 Roger Brooke Dr Att'N Ms. Shawana Judge Fort Sam Houston TX 78234-4504
Phone: (210) 916-1064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X Q0151 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-08-5446 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X Q0151 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X Q0151 Texas

Profile Details

NPI number 1659395523
LBN Legal business name Peterson, Wylan Cornelius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 18th, 2024 - about 3 months 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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