Dr. Erik Thomas Petersen
Dermatologist MOHS-Micrographic Surgeon
6655 Travis St. Suite 600
Houston
, Texas 77030
Dr. Erik Thomas Petersen
Dermatologist MOHS-Micrographic Surgeon
6655 Travis St. Suite 600
Houston
, Texas 77030
(713) 500-8268
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Erik Thomas Petersen
- 6655 Travis St Ste 980
- Houston, TX
- Zip : 77030-1343
- Phone : (713) 500-8268
Second Address
- Dr. Erik Thomas Petersen
- 6655 Travis St. Suite 600
- Houston, TX
- Zip : 77030
- Phone : (713) 500-8268
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | R6258 | TX |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | R6258 | TX |
National Provider Identifier
| NPI | 1043621048 |
|---|---|
| Provider Name | Dr. Erik Thomas Petersen |
| First Address | Houston, TX 77030-1343 |
| Second Address | Houston, TX 77030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2014 |
| Last Update Date | 29/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.