Jack Martin Peterson, MD - Fort Sam Houston, TX

Jack Martin Peterson, MD

Military Health Care Provider in Fort Sam Houston, Texas

NPI 1235980756

Jack Martin Peterson is a Military Health Care Provider based in Omaha, TX. Jack Martin Peterson practices in Fort Sam Houston, TX and has the professional credentials of MD. The NPI Number for Jack Martin Peterson is 1235980756 and holds a License No. (Texas).

The current practice location address for Jack Martin Peterson is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-4141.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 68106-3130

NPI Number

1235980756

Provider Name

Jack Martin Peterson

Credential

Provider Entity Type

Individual

Gender

Male

Address

3551 Roger Brooke Dr, Fort Sam Houston, TX, 68106-3130

Phone Number

210-916-4141

Fax Number

Provider Enumeration Date

04/01/2024

Last Update Date

04/14/2024

Address

3551 Roger Brooke Dr

City

Fort Sam Houston

State

Texas

Zip

78234-4504

Phone Number

210-916-4141

Fax Number

Address

3551 Roger Brooke Dr

City

Fort Sam Houston

State

Texas

Zip

78234-4504

Phone Number

210-916-4141

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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