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

PHYLLIS ROSE PETERSON, PA

Active

Physician Assistant · LUBBOCK, TX

Registration Details

NPI Number
1346246634
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2005 (20.859501521371 yrs)
Last Updated
May 19, 2015
License
PA01015 (TX)

Practice Information

Address
TTUHSC DEPT OF PSYCHIATRY
3601 4TH ST., MS 8103
LUBBOCK, TX, 794308103
Browse TX providers · Browse ZIP 79430
Phone
8067432800
Fax
8067432784
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LUBBOCK, TX

Name Credential NPI
JONI CLINE PA 1629072277
STEPHANIE KAY CAPEHART PA-C 1639175052
TONI ANN CLINE PA-C 1831195999
MARILYN NOBLE P.A. 1417946807
STACY BOONE P.A. 1326021734
BRYAN T O'NEALL PA 1346223401
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.