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

Walter Russell Peters Jr., MD, MBA

Individual provider Surgery Physician · NPI 1316941123

Walter Russell Peters Jr., MD, MBA is a Surgery Physician in Dallas, Texas. Licensed in Missouri and Texas. Registered with an NPI since 2005.

Licensed in
MO, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3409 Worth St Worth Tower Ste 640
Dallas, TX 75246-2029
Phone: (469) 800-7180
Fax: (469) 800-7190
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Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence Q6358 (TX)
Surgery Physician Taxonomy 208600000X · Licence R6G45 (MO)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence R6G45 (MO)

Record details

NPI number1316941123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

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