Individual provider · Type 1 NPI

Matthew Petersen, PA

Surgical Physician Assistant · Houston, TX

NPI number 1053764639 Active

Practice location

10425 Huffmeister Rd Ste 320
Houston, TX 77065-3429

Fax (281) 955-5875

Mailing address

11800 FM 1960 Rd W
Houston, TX 77065-3840

Other practice locations

  • 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 · (281) 955-2650

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1053764639

Matthew Petersen, PA's National Provider Identifier is 1053764639, issued on Jul 19, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Apr 28, 2022.