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GLENDA JEAN PETERS-DO M.D. P.A. NPI 1588840029


NPI Information

NPI: 1588840029
Provider Name: GLENDA JEAN PETERS-DO, M.D., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
527 GORDON ST
SUITE C
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 992-9300
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GLENDA JEAN PETERS-DO, M.D., P.A. is a family medicine in Corpus Christi, TX. 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. GLENDA JEAN PETERS-DO, M.D., P.A. NPI is 1588840029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 GORDON ST
SUITE C
CORPUS CHRISTI, TX
ZIP 78404-535
Phone: (361) 992-9300
Fax: (361) 992-9302

The provider's authorized official is Glenda Jean Peters-do .
The authorized official title is Director and has the following contact phone number (361) 992-9300.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineJ8713TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033135876OTHERTEXASINDIV NPI
200570VOTHERTEXASMEDICARE GROUP
3G20728MEDICARE UPINTEXAS

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: 4/28/2024

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