Dr. Justin Gregory Peacock
Nuclear Medicine Specialist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
Dr. Justin Gregory Peacock
Nuclear Medicine Specialist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
(210) 916-0493
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Justin Gregory Peacock
- 3551 Roger Brooke Dr
- Jbsa Ft Sam Houston, TX
- Zip : 78234-4504
- Fax : (210) 916-0493
- Phone : (210) 916-1906
Second Address
- Dr. Justin Gregory Peacock
- 3551 Roger Brooke Dr
- Jbsa Ft Sam Houston, TX
- Zip : 78234-4504
- Fax : (210) 916-0493
- Phone : (210) 916-1906
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 28970 | NE |
National Provider Identifier
| NPI | 1336563493 |
|---|---|
| Provider Name | Dr. Justin Gregory Peacock |
| First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
| Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2014 |
| Last Update Date | 01/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.