| Jason Edward Peters, M.d., P.a. | |
|
2106 Hale Avenue Harlingen TX 78550-8408 | |
| (956) 423-9111 | |
| (956) 423-9273 |
| Full Name | Jason Edward Peters, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2106 Hale Avenue, Harlingen, Texas |
| Authorized Official Name and Position | Jason E Peters (OWNER) |
| Authorized Official Contact | 9564239111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Edward Peters, M.d., P.a. 2106 Hale Avenue Harlingen TX 78550-8408 Ph: (956) 423-9111 | Jason Edward Peters, M.d., P.a. 2106 Hale Avenue Harlingen TX 78550-8408 Ph: (956) 423-9111 |
| NPI Number | 1114070166 |
|---|---|
| Provider Enumeration Date | 01/20/2007 |
| Last Update Date | 01/15/2008 |
| Medicare PECOS PAC ID | 2860585809 |
|---|---|
| Medicare Enrollment ID | O20070906000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114070166 | NPI | - | NPPES |
| 0024PS | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4911 (Texas) | Primary |
| Provider Name | Jason E Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083638779 PECOS PAC ID: 2961595905 Enrollment ID: I20070906000516 |
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