Michael Charles Petersen in Austin - Pediatric Emergency Medicine
Michael Charles Petersen - NPI 1881798379
Michael Charles Petersen is a Pediatric Emergency Medicine in Austin, Texas. Michael Charles Petersen practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Michael Charles Petersen is 1881798379. The last update date is 2019-09-04.
Michael Charles Petersen's current location address is 12356 Riata Trace Pkwy # 6006-b, Austin, Texas. You can contact this provider via phone number 5125067000 and fax number 3142514450. The mailing address for Michael Charles Petersen is 12356 Riata Trace Pkwy # 6006-b, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Charles Petersen |
|---|---|
| Address | 12356 Riata Trace Pkwy # 6006-b, Austin, Texas |
| Phone Number | 5125067000 |
| Fax Number | 3142514450 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881798379 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2019-09-04 |
Provider Mailing Address Detail
| Address | 12356 Riata Trace Pkwy # 6006-b |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787276417 |
| Phone Number | 5125067000 |
| Fax Number | 3142514450 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | Q2049 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Charles Petersen by the Centers for Medicare & Medicaid Services?
The Michael Charles Petersen has been assigned the NPI (National Provider Identifier) 1881798379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Michael Charles Petersen?
The Michael Charles Petersen is physically situated at 12356 Riata Trace Pkwy # 6006-B, in the city of Austin, state of TX, with the postal code 787276417.
What is Michael Charles Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Charles Petersen's area of specialization is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0204X.
When did the Michael Charles Petersen receive its 1881798379?
The Michael Charles Petersen was issued its 1881798379 on 2006-09-12, which is the date when the organization was assigned this unique identifier.
As of what date were the Michael Charles Petersen's details last updated?
The information pertaining to the Michael Charles Petersen, including its address, specialty, and other details, was most recently updated on 2019-09-04.