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Antonio Peterson

NPI 1740773217 · on the registry since 2018

Practice

Address
810 S Mason Rd
Katy, TX 77450
Phone
(818) 894-2273
Fax
(818) 357-2505
Organisation at this address
Icon Pharmacy
Bright Orthodontics, Pa
Agl Medical Supplies Llc
Texas Oral And Facial Surgery
Katy Periodontics Management Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • 599 S Barranca Ave Ste 555, Covina, CA
  • 6420 Wilshire Blvd Ste 600, Los Angeles, CA
  • 815 Pollard Rd, Los Gatos, CA
  • 3356 W Ball Rd Ste 219, Anaheim, CA
  • 4300 Long Beach Blvd Ste 700, Long Beach, CA
  • 5806 Pacific Blvd, Huntington Park, CA
  • 16320 Roscoe Blvd, Van Nuys, CA
  • 8929 Aero Dr Ste E, San Diego, CA

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
Licence states on file
FL, TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas