Healthcare Provider Details

I. General information

NPI: 1932133329
Provider Name (Legal Business Name): PETER EDWARD BRESSLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 N CENTRAL EXPY TOWER II SUITE 570
DALLAS TX
75231-0806
US

IV. Provider business mailing address

9301 N CENTRAL EXPY TOWER II SUITE 570
DALLAS TX
75231-0806
US

V. Phone/Fax

Practice location:
  • Phone: 214-369-5992
  • Fax: 214-369-2414
Mailing address:
  • Phone: 214-369-5992
  • Fax: 214-369-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberH7702
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: