DOUGLAS PETERS NPI 1568810638

NPI Information

NPI: 1568810638
Provider Name: DOUGLAS PETERS
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SCOTT AND WHITE CLINIC

PECOS Registration: Yes

Address:
3801 SCOTT AND WHITE DR
KILLEEN, TX
ZIP 76543
Phone: (254) 680-1100
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Douglas Peters is a surgical physician assistant in Killeen, TX with 7 years of experience. Douglas Peters NPI is 1568810638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 SCOTT AND WHITE DR
KILLEEN, TX
ZIP 76543-252
Phone: (254) 680-1100

The NPI 1568810638 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 5/31/2016 and was last updated on 1/27/2022.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363AS0400X	Physician Assistant	Surgical	PA11732	TEXAS	Yes

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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