MEDICARE: BRIANNA PETERS CGC

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	170300000X	Genetic Counselor (M.S.)	22910	TX

General Provider Information

NPI Number	:	1881564185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA PETERS CGC

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	325-692-0626
Fax Number	:	325-692-0638

Provider Business Practice Location Address
First Line	:	1933 PINE ST STE A
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2431
Country	:	US
Telephone Number	:	325-692-0626
Fax Number	:	325-692-0638

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

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	04/08/2026

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