Search › Texas › 2080P0204X
Michael Petersen, M.D
NPI 1881798379 · on the registry since 2006
Practice
- Address
- 12356 Riata Trace Pkwy # 6006-B
Austin, TX 78727 - Phone
- (512) 506-7000
- Fax
- (314) 251-4450
Additional practice sites
- 621 S New Ballas Rd, Saint Louis, MO
Registry record
- Primary taxonomy
- 2080P0204X
2080P0204X
- Also registered as
- 208000000X
- Licence states on file
- MO, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-04
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