MEDICARE: PEGGY FENTON LINGUIST M.D.

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
1	208000000X	Pediatrics Physician	K3788	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1265474589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY FENTON LINGUIST M.D.

Provider Business Mailing Address
First Line	:	2460 N I 35 STE 215
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5271
Country	:	US
Telephone Number	:	972-817-9570
Fax Number	:	972-817-9580

Provider Business Practice Location Address
First Line	:	2460 N I 35 STE 215
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5271
Country	:	US
Telephone Number	:	972-817-9570
Fax Number	:	972-817-9580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/09/2025

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