SearchTexas207LP2900X

Kevin Peterson, DO

NPI 1790225662 · on the registry since 2017

Practice

Address
3551 Rodger Brooke Dr
Jbsa-Fort Sam Houston, TX 78234
Phone
(210) 916-8666
Fax
(210) 916-8712

Registry record

Primary taxonomy
207LP2900X
207LP2900X
Also registered as
207L00000X
208D00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas