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

PETER DANIEL OBESSO, D.O.

Active Sole Proprietor

PETER DANIEL OBESSO, D.O. is a Sports Medicine (IM) healthcare provider located in TYLER, Texas. NPI 1356577787 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · TYLER, TX

Registration Details

NPI Number
1356577787
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2009 (17.250812600391 yrs)
Last Updated
Oct 13, 2014
Licenses
P7011 (TX)
OS11800 (FL)
Sole Proprietor
Yes

Practice Information

Address
120 E CHARNWOOD ST
SUITE B
TYLER, TX, 757011708
Browse TX providers · Browse ZIP 75701
Phone
9035251664
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Providers in TYLER, TX

Name Credential NPI
SHERRI L TEN PAS DO 1295706471
DR. RAGHAVENDRA V GHUGE MD 1891768461
DR. BILLY MAX EDEN MD 1356370464
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.