Individual provider · Type 1 NPI
Wylan Cornelius Peterson, MD
Surgical Critical Care Physician · Temple, TX
Practice location
2401 S 31st St
Temple, TX 76508-0001
Fax (254) 724-7603
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice locations
- 600 Elizabeth St, Corpus Christi, TX 78404-2235 · (361) 881-3000
- 3551 Roger Brooke Dr, Att'n Ms. Shawana Judge, Fort Sam Houston, TX 78234-4504 · (210) 916-1064
- 4310 James Casey St Ste 3C, Austin, TX 78745-1120 · (512) 326-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Critical Care Physician Primary | 2086S0102X | Q0151 (TX) |
| Surgery Physician | 208600000X | Q0151 (TX) |
| Surgery Physician | 208600000X | 35-08-5446 (OH) |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Q0151 (TX) |
Surgical Critical Care Physician: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care…
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About NPI 1659395523
Wylan Cornelius Peterson, MD's National Provider Identifier is 1659395523, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Critical Care Physician (2086S0102X), and the practice location is in Temple, TX. The record was last updated on Oct 12, 2026.