Healthcare Provider Details

I. General information

NPI: 1518102789
Provider Name (Legal Business Name): PETER A LEMASTER CFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S COULTER ST
AMARILLO TX
79106-1770
US

IV. Provider business mailing address

1004 WELLS ST
BENNETTSVILLE SC
29512-2718
US

V. Phone/Fax

Practice location:
  • Phone: 806-354-1000
  • Fax:
Mailing address:
  • Phone: 843-615-7743
  • Fax: 843-479-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: