IndividualActive
Clifton Peterson
NPI 1710671235 · Student in an Organized Health Care Education/Training Program · Dallas, TX
Provider details
- NPI number
- 1710671235
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390-9006
Phone: (214) 648-2168
Fax: (214) 648-7517
Approximate (ZIP-level) locationGet directions
Mailing address
5323 Harry Hines Blvd
Dallas, TX 75390-9006
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.