PAUL D PETERSON (PA) – Medical Physician Assistant, NPI 1861494486

PAUL D PETERSON (PA) is a healthcare provider. based in Austin, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA01398 (TX). The NPI Number for PAUL D PETERSON (PA) is 1861494486

Main info

Male
Name
PAUL D PETERSON (PA)
NPI
1861494486
Phone
(512) 206-4300
Address
PO BOX 4189
Enumeration Date
12 August 2005
Last Update Date
24 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PAUL D PETERSON (PA)

  • PO BOX 4189

    AUSTIN HEART

    AUSTIN, TX 787654189

    Phone: (512) 206-4300

    Fax: (512) 206-4350

    Type: Mailing

  • South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States

    STE 304

    KILLEEN, TX 765494132

    Phone: (254) 526-2085

    Fax: (254) 526-9569

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78765)

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Reviews

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Frequently asked questions

What federal number belongs to PAUL D PETERSON (PA)?
The federal identifier for PAUL D PETERSON (PA) is NPI 1861494486.
Is PAUL D PETERSON (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PAUL D PETERSON (PA)'s specialty in plain language?
Clinically, the directory lists PAUL D PETERSON (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is PAUL D PETERSON (PA)'s primary listing?
We display Austin, Texas because that is what the record indicates for PAUL D PETERSON (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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