NPI age
11 years
Enumerated 2014-06-16
● Active
Type 1 · Individual
DR. MacK Andelin Peterson, D.O.
Peterson is 1 of 30 family medicine providers in Jbsa Lackland and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 15966 Family Medicine providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.