| Patrick H. Peters, Jr., M.d., P.a. | |
|
6547 Bandera Rd San Antonio TX 78238-1434 | |
| (210) 521-7676 | |
| (210) 521-7690 |
| Full Name | Patrick H. Peters, Jr., M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6547 Bandera Rd, San Antonio, Texas |
| Authorized Official Name and Position | Patrick H Peters (PRESIDENT/OWNER) |
| Authorized Official Contact | 2105217676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick H. Peters, Jr., M.d., P.a. 6547 Bandera Rd San Antonio TX 78238-1434 Ph: (210) 521-7676 | Patrick H. Peters, Jr., M.d., P.a. 6547 Bandera Rd San Antonio TX 78238-1434 Ph: (210) 521-7676 |
| NPI Number | 1932128048 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/24/2008 |
| Medicare PECOS PAC ID | 9335122290 |
|---|---|
| Medicare Enrollment ID | O20040610001580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932128048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick H Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578505731 PECOS PAC ID: 3678545373 Enrollment ID: I20040812000401 |
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