PAUL D PETERSON PA
NPI 1861494486
Physician Assistant - Medical in Killeen, TX

Active since August 12, 2005
2207 S CLEAR CREEK RD, STE 304, KILLEEN, TX 76549(254) 526-2085(254) 526-9569 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul D Peterson Pa NPPES

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

PAUL D PETERSON PA (NPI 1861494486) is an individual medical provider in Killeen, Texas, licensed in Texas (PA01398) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1861494486
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL D PETERSONCredential: PA
Location Address2207 S CLEAR CREEK RD, STE 304Killeen, TX 76549-4132
Mailing AddressPo Box 4189, Austin HeartAustin, TX 78765-4189 · (512) 206-4300 · Fax (512) 206-4350
Fax(254) 526-9569
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateOctober 24, 2007
NPI 1861494486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA01398
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License PA01398 (TX)
2207 S CLEAR CREEK RD, Killeen, TX 76549

Other Identifiers 5

Other85N216TX · Bc/bs
Medicare UPINS41040
Medicare PIN85N216TX
Medicare ID-Type Unspecified8SN216TX
Medicare ID-Type Unspecified8AS486TX

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Cardiovascular Disease)
2207 S CLEAR CREEK RD, STE. 205
KILLEEN, TX 76549
Internal Medicine (Clinical Cardiac Electrophysiology)
2207 S CLEAR CREEK RD, SUITE 205
KILLEEN, TX 76549
Internal Medicine (Pulmonary Disease)
2207 S CLEAR CREEK RD, STE 302
KILLEEN, TX 76549
Non-Pharmacy Dispensing Site
2207 S CLEAR CREEK RD, SUITE 101
KILLEEN, TX 76549
Obstetrics & Gynecology
2207 S CLEAR CREEK RD, STE 201
KILLEEN, TX 76549
Otolaryngology
2207 S CLEAR CREEK RD, STE # 303
KILLEEN, TX 76549
Otolaryngology
2207 S CLEAR CREEK RD, SUITE 303
KILLEEN, TX 76549
Internal Medicine (Hematology & Oncology)
2207 S CLEAR CREEK RD, SUITE 302
KILLEEN, TX 76549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Peterson's NPI number?

The NPI number for Paul Peterson is 1861494486. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Paul Peterson located?

Paul Peterson practices at 2207 S Clear Creek Rd Ste 304, Killeen, TX 76549. The listed phone number is (254) 526-2085.

What is Paul Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Paul Peterson was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.