Provider Demographics
NPI:1326078338
Name:PETER J NAUS MD PA
Entity Type:Organization
Organization Name:PETER J NAUS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-461-6871
Mailing Address - Street 1:1001 WALDROP
Mailing Address - Street 2:702
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012
Mailing Address - Country:US
Mailing Address - Phone:817-401-6871
Mailing Address - Fax:817-860-6441
Practice Address - Street 1:1001 WALDROP
Practice Address - Street 2:702
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:817-401-6871
Practice Address - Fax:817-860-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0821912OtherAETNA
TX0031861001Medicaid
TX213793OtherBLUE LINK BCBS
C19793Medicare UPIN
TX00AID49Medicare ID - Type Unspecified