Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | H8797 | TX |
NPI | 1124026752 |
---|---|
Provider Name | Dr. Kurt R Peters |
First Address | Pearland, TX 77584-9759 |
Second Address | Pearland, TX 77584-9759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 31/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E52449 | (02) |