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Walter Russell Peters JR., MD,MBA
Colon & Rectal Surgery Physician in Dallas, Texas
NPI 1316941123

Walter Russell Peters JR. is a Colon & Rectal Surgery Physician based in Dallas, TX. Walter Russell Peters JR. practices in Dallas, TX and has the professional credentials of MD,MBA. The NPI Number for Walter Russell Peters JR. is 1316941123 and holds a License No. R6G45 (Texas).

The current practice location address for Walter Russell Peters JR. is 3409 Worth St, Dallas, TX and can be reached out via phone at 469-800-7180 and via fax at 469-800-7190.

Location: 3409 Worth St, Dallas, TX, 75246-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316941123
Provider Name
Walter Russell Peters JR.
Credential
MD,MBA
Provider Entity Type
Individual
Gender
Male
Address
3409 Worth St, Dallas, TX, 75246-2029
Phone Number
469-800-7180
Fax Number
469-800-7190
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1284609 01 MO UNITED HEALTHCARE
123497 01 MO PHCS
28058 01 MO GHP
5125 01 MO HEALTHCARE USA
8FM794 01 TX BCBS
25055 01 MO ANTHEM BLUECROSS BLUESHIE
3548646-01 05 TX
4343317 01 MO AETNA
4343317 01 TX AETNA
431428562 01 MO GREAT WEST
1316941123 01 TX NPI
202523015 05 MO
A10787 01 MO MERCY
institution
Provider Business Practice Location Address Details
Address
3409 Worth St
City
Dallas
State
Texas
Zip
75246-2029
Phone Number
469-800-7180
Fax Number
469-800-7190
person
Provider Business Mailing Address Details
Address
3409 Worth St
City
Dallas
State
Texas
Zip
75246-2029
Phone Number
469-800-7180
Fax Number
469-800-7190
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
R6G45 (Missouri)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
R6G45 (Missouri)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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