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General NPI Number Information
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NPI Number | 1619183928
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Entity Type | Individual
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Provider Name | PETER H PROCTOR MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5555 WEST LOOP SOUTH SUITE 225
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City | BELLAIRE
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State | TX
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Zip | 77027
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Country | US
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Telephone | 713-960-1616
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Fax | 713-960-9307
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Provider Business Mailing Address
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Address Line | 4518 OAKSHIRE DR
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City | HOUSTON
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State | TX
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Zip | 77027-5531
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Country | US
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Telephone | 713-960-1616
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Fax | 713-960-9307
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G3056
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G3059
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number | G3056
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | G3056
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License Number State | TX
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