THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA NPI 1972541423

NPI Information

  • NPI: 1972541423
  • Provider Name: THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 551 HILL COUNTRY DR
    KERRVILLE, TX
    ZIP 78028
  • Phone: (830) 896-4200

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NPI Details

THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA is an emergency medicine in Kerrville, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. THIRD COAST EMERGENCY PHYSICIANS SID PETERSON PA NPI is 1972541423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

551 HILL COUNTRY DR
KERRVILLE, TX
ZIP 78028-085
Phone: (830) 896-4200

The provider's authorized official is Sam Roberts .
The authorized official title is President and has the following contact phone number (512) 452-8533.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 4/27/2010.

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
1207P00000XEmergency MedicineYes

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
10070BDOTHERTEXASBCBS
2081037604OTHERTEXASCSHCN
30012NJOTHERTEXASBCBS
40070BDMEDICARE PINTEXAS
5081037603MEDICAIDTEXAS
6CD4084MEDICARE PINTEXAS

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: 11/21/2025

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