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

Individual provider Physician Assistant · NPI 1346246634

Phyllis Rose Peterson, PA is a Physician Assistant in Lubbock, Texas. Qualified in 1999, 27 years ago. Practices with Family Care Center LLC, a 693-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Ttuhsc Dept OF Psychiatry 3601 4TH ST MS 8103
Lubbock, TX 79430-8103
Phone: (806) 743-2800
Fax: (806) 743-2784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01015 (TX)

Record details

NPI number1346246634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESMay 19, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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