DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER RUSSELL PETERS JR., M.D., M.B.A

Active

WALTER RUSSELL PETERS JR., M.D., M.B.A is a Colon & Rectal Surgery healthcare provider located in DALLAS, Texas. NPI 1316941123 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · DALLAS, TX

Registration Details

NPI Number
1316941123
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2005 (21.136337207042 yrs)
Last Updated
Apr 7, 2022
Licenses
R6G45 (MO)
R6G45 (MO)
Q6358 (TX)

Practice Information

Address
3409 WORTH ST
WORTH TOWER, SUITE 640
DALLAS, TX, 752462029
Browse TX providers · Browse ZIP 75246
Phone
4698007180
Fax
4698007190
Primary Specialty
Colon & Rectal Surgery
208C00000X
Additional Specialty
Colon & Rectal Surgery
Additional Specialty
Colon & Rectal Surgery

Other Colon & Rectal Surgery Providers in DALLAS, TX

Name Credential NPI
DR. MICHELLE M OLSON MD 1366405102
PHILIP J HUBER JR. MD 1245272145
DR. SHARON G GREGORCYK M.D. 1982647806
DR. NARINDER K MONGA MD 1750325288
ANTHONY MACALUSO JR. MD 1649201385
J. MARCUS DOWNS MD 1811922610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.