P Praxis·MD
● Active Type 1 · Individual

Walter Russell Peters JR., M.D., M.B.A

Colon & Rectal Surgery·Dallas, TX· NPI 1316941123 · Enumerated 2005 · 20 years on NPI
Peters is 1 of 39 colon & rectal surgery providers in Dallas and 1 of 264 in Texas.
NPI age
20 years
Enumerated 2005-06-09
Primary specialty
Colon & Rectal Surgery
Plus 2 subspecialties
Licensed in
TX, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 264 active colon & rectal surgery providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 43% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
3409 Worth St, Worth Tower, Suite 640
Dallas, TX 752462029
📞 4698007180fax 4698007190
Mailing address
3409 Worth St, Worth Tower, Suite 640
Dallas, TX 752462029
📞 4698007180fax 4698007190

Specialties

  • Colon & Rectal Surgery Primary
    A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues...
    TX license #Q6358MO license #R6G45 taxonomy 208C00000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    MO license #R6G45 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (MO) 1284609 UNITED HEALTHCARE
01 (MO) 123497 PHCS
01 (MO) 28058 GHP
01 (MO) 5125 HEALTHCARE USA
01 (TX) 8FM794 BCBS
01 (MO) 25055 ANTHEM BLUECROSS BLUESHIE
05 (TX) 3548646-01
01 (MO) 4343317 AETNA
01 (TX) 4343317 AETNA
01 (MO) 431428562 GREAT WEST
01 (TX) 1316941123 NPI
05 (MO) 202523015
01 (MO) A10787 MERCY
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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