Peck, Elizabeth K.

Peck, Elizabeth K. is an individual health care provider with primary practice located at 3601 4Th St Suite 1C143, Lubbock TX 79430-8143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peck, Elizabeth K. can be contacted via phone (806) 743-2757.

Contact Information

Primary practice address
3601 4Th St Suite 1C143 Lubbock TX 79430-8143
Phone: (806) 743-2757
Fax: (806) 743-2563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J0185 Texas

Profile Details

NPI number 1902898950
LBN Legal business name Peck, Elizabeth K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902898950 NPPES
Texas Other 121233103 FIRSTCARE COMMERCIAL
Texas MEDICAID 139164106 FIRSTCARE COMMERCIAL
Texas Other A206 FIRSTCARE COMMERCIAL
Texas MEDICAID 121233102 FIRSTCARE COMMERCIAL
Texas MEDICAID 139164114 FIRSTCARE COMMERCIAL
Texas MEDICAID R9487 FIRSTCARE COMMERCIAL
Texas Other 89C626 FIRSTCARE COMMERCIAL
Texas Other 80729Z FIRSTCARE COMMERCIAL
Texas MEDICAID 88502 FIRSTCARE COMMERCIAL
Texas MEDICAID 100146160A FIRSTCARE COMMERCIAL
Texas Other 88502 FIRSTCARE COMMERCIAL

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