Active NPI
Tricia Lyzanne Peters, MD, MS
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
National Provider Identifier
1619248671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R0296
- Practice address
- 1140 Business Center Dr Ste 370
Houston, TX 77043 - Phone
- (713) 391-5195
- NPI assigned
- Jan 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | R0296 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R0296 | TX | Primary |
Addresses
Primary practice location
1140 Business Center Dr Ste 370
Houston, TX 77043
Mailing address
6115 Rollingbrook Dr
Houston, TX 77096-5655
Phone (713) 391-5195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1619248671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 ROLLINGBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770965655",
"telephone_number": "713-391-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 BUSINESS CENTER DR STE 370",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77043",
"telephone_number": "713-391-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "TRICIA",
"middle_name": "LYZANNE",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "TX",
"license": "R0296",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "R0296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.