DR. ERIC J PETERSEN M.D. - NPI 1184890543 - Family Medicine in Mcallen, TX

Q: What is Eric Petersen's NPI number?

The NPI number for Eric Petersen is 1184890543. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Q: What is Eric Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Petersen was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Eric J Petersen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC J PETERSEN M.D. (NPI 1184890543) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (N8336) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1184890543

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ERIC J PETERSENCredential: M.D.

Location Address205 E TORONTO AVEMcallen, TX 78503-1209

Mailing Address1550 S Staples St, Ste 150Corpus Christi, TX 78404-3123 · (361) 800-8155 · Fax (361) 882-2590

Phone(956) 687-6155

Fax(956) 618-0451

Sole ProprietorNo

Enumeration DateMay 6, 2008

Last NPPES UpdateJuly 12, 2016

✔ NPI 1184890543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · N8336✔ Licensed in TX · 43275✔ Licensed in WA · MD 60036832✔ Licensed in UT · 7333423-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ML 20009169 (WA)

205 E TORONTO AVE, Mcallen, TX 78503

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Other Identifiers 6

OtherMD 60036832WA · Washington

OtherN8336TX · Medical License

Medicare PIN000066521UT

Medicare PINP00764206 MCRRUT

Other20009169WA · Medical License

Other7333423-1205UT · Medical License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CYNTHIA CAVAZOS-GONZALEZ PH.D

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