DR. GLENDA JEAN PETERS-DO M.D. NPI 1033135876

NPI Information

NPI: 1033135876
Provider Name: DR. GLENDA JEAN PETERS-DO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: TMC PROVIDER GROUP PLLC

PECOS Registration: Yes

Address:
9900 S IH 35
TEXAS MEDCLINIC
AUSTIN, TX
ZIP 78748
Phone: (512) 291-5577
Get Directions

DR. Glenda Jean Peters-do, M.D. is a family medicine in Austin, TX with 30 years of experience. The provider is 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. DR. Glenda Jean Peters-do, M.D. NPI is 1033135876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 S IH 35
TEXAS MEDCLINIC
AUSTIN, TX
ZIP 78748-885
Phone: (512) 291-5577
Fax: (512) 291-5576

The NPI 1033135876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 11/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		J8713	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J8713	OTHER	TEXAS	TEXAS MEDICAL LICENSE
2	1119812-01	MEDICAID	TEXAS
3	00570V	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	GROUP NUMBER
4	72-1564406	OTHER	TEXAS	FEDERAL TAX ID
5	G20728	MEDICARE UPIN	TEXAS
6	8A9642	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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