Peele, Mark Edward

Peele, Mark Edward is an sole proprietor health care provider with primary practice located at 3557 Roger Brooke Dr , Fort Sam Houston TX 78234-4505. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Peele, Mark Edward can be contacted via phone (210) 539-9582.

Contact Information

Primary practice address
3557 Roger Brooke Dr Fort Sam Houston TX 78234-4505
Phone: (210) 539-9582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X TX2544 Texas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X L2544 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L2544 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L2544 Texas

Profile Details

NPI number 1770686990
LBN Legal business name Peele, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jan 30th, 2021 - about 5 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 1770686990 NPPES
Texas Other 8DH278 BCBSTX
Texas MEDICAID 307109401 BCBSTX

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