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Peter J McCormick

Specialist in Cedar Hill, TX. Individual provider (NPI-1).

NPI number1033765789
StatusActive
Last updated in NPPESAug 16, 2019

Details

NPI
1033765789
Entity type
Individual (NPI-1)
Name
Peter J McCormick
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2019
Last updated
Aug 16, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

2901 S Lakeview Dr
Cedar Hill, TX 75104-8263

Phone 972-904-9852

Mailing address

2901 S Lakeview Dr
Cedar Hill, TX 75104-8263

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist providers in Cedar Hill, TX

All 5 Specialist providers in Cedar Hill · All 940 providers in Cedar Hill

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