Provider Demographics
NPI:1376955286
Name:PETERS, JAMES (RNCST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:PETERS
Suffix:
Gender:M
Credentials:RNCST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2401 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 215B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4827
Mailing Address - Country:US
Mailing Address - Phone:832-415-3079
Mailing Address - Fax:832-201-7555
Practice Address - Street 1:2401 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 215B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4827
Practice Address - Country:US
Practice Address - Phone:832-415-3079
Practice Address - Fax:832-201-7555
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX887246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic