Marco Antonio Peterson Jr. (NPI# 1881058709, PAC ID# 1951631365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1881058709 |
| PAC ID by PECOS | 1951631365 |
| Professional Enrollment ID | I20190927001866 |
| Full Name | Marco Antonio Peterson Jr. |
| Organization Legal Name | TEXAS SPECIALTY PHYSICIANS |
| Address |
4002 S Loop Suite 256 Palestine TX 75801-8491 |
| Phone Number | 9037314301 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305901927 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450747 | PALESTINE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 44472 Hayes Rd, Clinton Township, MI 48038-1090 | 5864120890 | LAKESIDE URGENT CARE PC |
| 4002 S Loop, Suite 256, Palestine, TX 75801-8491 | 9037314301 | TEXAS SPECIALTY PHYSICIANS |
| Organization Legal Name | TEXAS SPECIALTY PHYSICIANS |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ro-jon A Grogans | General Surgery | Texas Specialty Physicians | 126 Medical Dr, Suite C, Palestine, TX 75801-8505 |
| Tao A Ho | Internal Medicine | Texas Specialty Physicians | 2201 W Lampasas St, Ennis, TX 75119-5644 |
| Jerry Lamont Mckenzie | Family Medicine | Texas Specialty Physicians | 514 S Bonham St, Mexia, TX 76667-3664 |
| Travis L Wacha | Nurse Practitioner | Texas Specialty Physicians | 514 S Bonham St, Suite H, Mexia, TX 76667-3664 |
| Miguel E Castellanos | Cardiovascular Disease (cardiology) | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Andre Dean Graham | General Surgery | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Michael E Trice | Orthopedic Surgery | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Rebecca L Lucas | Nurse Practitioner | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Nhue A Ho | Internal Medicine | Texas Specialty Physicians | 2201 W Lampasas St, Ennis, TX 75119-5644 |
| Danny L Bowman | Obstetrics/gynecology | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Street Address |
4002 S LOOP SUITE 256 |
| City | PALESTINE |
| State | TX |
| Zip | 75801-8491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi M Puvvada | Allergy/immunology | 4002 S Loop, 256 Suite L, Palestine, TX 75801-8403 | |
| Raymond F Jordan | Family Medicine | Mt Enterprise Community Health Clinic | 4002 S Loop, 256 Suite K, Palestine, TX 75801-8402 |
| Adebayo Shakir Adewale | Internal Medicine | 4002 S Loop, 256 Suite F, Palestine, TX 75801-8493 | |
| Robert A Launikitis | Orthopedic Surgery | Texas Specialty Physicians | 4002 S Loop, Suite 256, Palestine, TX 75801-8491 |
| Nandan K Puvvada | General Surgery | 4002 S Loop, 256 Suite L, Palestine, TX 75801-8403 | |
| Nitin M Kamble | Psychiatry | Texas Specialty Physicians | 4002 S Loop, Palestine, TX 75801-8491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Gold | Ophthalmology | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Daniel Ewing | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Daniel M Gold | Ophthalmology | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Jumah T Absy | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Jayanna D Byrd | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Don A Rice | Chiropractic | 801 N Mallard St, Palestine, TX 75801-2366 | |
| Alyssa M Billue | Nurse Practitioner | Regency Ihs Nps LLC | 3201 N Ware Rd, Mcallen, TX 75801-3305 |
| Zachary Z Leslie | Chiropractic | Zachary Zane Leslie Dc Pa | 100 Willow Creek Pkwy C, Willow Creek Chiropractic and Wellness, Palestine, TX 75801-4387 |
| Quinton Thomas Reel | Chiropractic | Zachary Zane Leslie Dc Pa | 100 Willow Creek Pkwy C, Willow Creek Chiropractic and Wellness, Palestine, TX 75801-4387 |
| Brad A Brazeal | Psychiatry | 300 Willow Creek Pkwy, Suite 210, Palestine, TX 75801-4389 | |
| Find all physicians in zip 75801 | |||
| City | PALESTINE |
| Zip Code | 75801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PALESTINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marco Antonio Peterson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.