P Praxis·MD
● Active Type 1 · Individual

DR. Wylan Cornelius Peterson, M.D.

Surgery·Fort Sam Houston, TX· NPI 1659395523 · Enumerated 2006 · 19 years on NPI
Peterson is 1 of 9 surgery providers in Fort Sam Houston and 1 of 126 in Texas.
NPI age
19 years
Enumerated 2006-07-26
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
TX, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 126 active surgery providers in Texas.

NPI age
19 years
↑ 3 yr above median (15 yr)
State licenses
2 states
Top 63% — 36% of peers are multi-state
Subspecialties
2
In the 77% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
3551 Roger Brooke Dr, Att'N MS. Shawana Judge
Fort Sam Houston, TX 782344504
📞 2109161064
Mailing address
3551 Roger Brooke Dr, Att'N MS. Shawana Judge
Fort Sam Houston, TX 782344504
📞 2109161064

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
600 Elizabeth St
Corpus Christi, TX 784042235
📞 3618813000fax 3618813149
Location 3
4310 James Casey St Ste 3c
Austin, TX 787451120
📞 5123262800fax 5124416388

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
    TX license #Q0151 taxonomy 2086S0102X
  • Internal Medicine
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    TX license #Q0151 taxonomy 207RC0200X
  • 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...
    OH license #35-08-5446TX license #Q0151 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 1394 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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