Active NPI
Robert Dickey Peterson MD LTD LLP
- Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1760748321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- E1225
- Legal business name
- ROBERT DICKEY PETERSON MD LTD LLP
- Practice address
- 17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619 - Phone
- (281) 893-4144
- Fax
- (281) 583-2375
- NPI assigned
- Apr 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shawn M Byrnes
- Title
- Practice Coordinator
- Phone
- (281) 893-4144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | E1225 | TX | Primary |
Addresses
Primary practice location
17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619
Mailing address
17070 Red Oak Drive
Suite 500
Houston, TX 77090
Phone (281) 893-4144
National Provider Directory
National Provider DirectoryLocations
17070 Red Oak Dr
Ste 500
Houston, TX 77090
Phone (281) 893-4144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1760748321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17070 RED OAK DRIVE",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77090",
"telephone_number": "281-893-4144",
"fax_number": "281-583-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17070 RED OAK DR",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902619",
"telephone_number": "281-893-4144",
"fax_number": "281-583-2375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT DICKEY PETERSON MD LTD LLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "BYRNES",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE COORDINATOR",
"authorized_official_telephone_number": "281-893-4144",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "E1225",
"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 Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.