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NPI Code Detail

MEDICARE: JOSEPH PEEVEY MD

MEDICARE: JOSEPH PEEVEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0500XCytopathology Physician036140293IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346582822
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PEEVEY MD
Provider Business Mailing Address
First Line : PO BOX 843302
Second Line :
City : DALLAS
State : TX
Zip : 75284-3302
Country : US
Telephone Number : 800-475-6236
Fax Number : 706-653-4449
Provider Business Practice Location Address
First Line : 1800 PARK PLACE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1302
Country : US
Telephone Number : 871-922-1559
Fax Number : 706-653-4449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2013
Last Update Date : 10/06/2022

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