Jeffrey Peck
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
2222 Welborn St
Dallas
, Texas 75219-3924
Jeffrey Peck
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
2222 Welborn St
Dallas
, Texas 75219-3924
(214) 559-7570
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey Peck
- 2222 Welborn St
- Dallas, TX
- Zip : 75219-3924
- Fax : (214) 559-7570
- Phone : (214) 559-8430
Second Address
- Jeffrey Peck
- 2222 Welborn St
- Dallas, TX
- Zip : 75219-3924
- Fax : (214) 559-7570
- Phone : (214) 559-8430
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 4301101089 | MI |
| N | 207X00000X | Orthopaedic Surgeon | 5315055844 | MI |
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | R1104 | TX |
National Provider Identifier
| NPI | 1679835219 |
|---|---|
| Provider Name | Jeffrey Peck |
| First Address | Dallas, TX 75219-3924 |
| Second Address | Dallas, TX 75219-3924 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2012 |
| Last Update Date | 14/07/2017 |
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.