MEDICARE: DR. PETER I HESSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	BP10037123	TX
2	207P00000X	Emergency Medicine Physician	P1325	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01214519	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740507649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER I HESSON MD

Provider Business Mailing Address
First Line	:	12221 MERIT DR STE 1500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-2235
Country	:	US
Telephone Number	:	214-217-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	12221 MERIT DR STE 1500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-2235
Country	:	US
Telephone Number	:	214-217-1911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2010
Last Update Date	:	02/03/2016

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Directions to “ DR. PETER I HESSON MD” Practice Location

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