Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Peter Faulk

Individual provider Acute Care Nurse Practitioner · NPI 1649965484

Mr. Peter Faulk is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2021, 5 years ago. Practices with Gastroenterology Associates of Pensacola PA, a 41-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

4649 Mountain Oak St
Fort Worth, TX 76244-4397
Phone: (209) 287-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1114862 (TX)

Record details

NPI number1649965484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Gastroenterology Associates Of Pensacola Pa — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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