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

DR. WYLAN CORNELIUS PETERSON, M.D.

Active

DR. WYLAN CORNELIUS PETERSON, M.D. is a Surgical Critical Care healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1659395523 is currently active in the NPPES registry. Verify at CMS.

Surgical Critical Care · FORT SAM HOUSTON, TX

Registration Details

NPI Number
1659395523
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.077789912704 yrs)
Last Updated
Jun 18, 2024
Licenses
Q0151 (TX)
35-08-5446 (OH)
Q0151 (TX)
Q0151 (TX)

Practice Information

Address
3551 ROGER BROOKE DR
ATT'N MS. SHAWANA JUDGE
FORT SAM HOUSTON, TX, 782344504
Browse TX providers · Browse ZIP 78234
Phone
2109161064
Primary Specialty
Surgical Critical Care
2086S0102X
Additional Specialty
General Surgery
Additional Specialty
General Surgery
Additional Specialty
Surgical Critical Care

Other Surgical Critical Care Providers in FORT SAM HOUSTON, TX

Name Credential NPI
DR. LEOPOLDO CARLOS CANCIO MD 1336120443
DR. RAMON F CESTERO M.D. 1548234024
DR. BRADLEY A RITTENHOUSE MD 1073666301
DR. TYSON ERIK BECKER M.D. 1205068111
DR. JACOB ANDREW SWANN MD 1972898054
DR. TOMMY ALAN BROWN II MD 1043637523
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.