| NPI | 1114443181 |
|---|---|
| Former Legal Business Name | PAT A PETERS MD, PA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RYAN BRISENO President 817-481-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2023-09-01 |