PHYLLIS PETERSON, PA

Physician Assistant

Active Individual
NPI: 1346246634

Practice Address

TTUHSC DEPT OF PSYCHIATRY
3601 4TH ST., MS 8103
Lubbock, TX 79430

Phone: (806) 743-2800

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA01015 (TX)

Frequently Asked Questions

NPI 1346246634 is the National Provider Identifier for PHYLLIS PETERSON, PA, a Physician Assistant provider located in Lubbock, TX. This NPI was enumerated on June 22, 2005.
PHYLLIS PETERSON, PA practices at TTUHSC DEPT OF PSYCHIATRY, 3601 4TH ST., MS 8103, Lubbock, TX 79430.

Quick Facts

NPI
1346246634
Type
Individual
Enumerated
Jun 22, 2005
Last Updated
May 19, 2015

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