| Doctor Name: | DOLORES M PETERSON |
| NPI Number: | 1295794329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD PHD |
| License Number: | H3927 |
| Business Practice Address: | 4403 Silverwood Dr Houston, TX - 770353635 |
| Business Phone Number: | 2149129028 |
| Business Fax Number: | |
| Mailing Address: | 4403 Silverwood Dr, HOUSTON |
| State: | TX |
| Postal Code: | 770353635 |
| Phone Number: | 2149129028 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2006 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H3927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |