Daniel Peckenpaugh, MD | |
1545 E Southlake Blvd, Southlake, TX 76092-6422 | |
(817) 748-8700 | |
Not Available |
Full Name | Daniel Peckenpaugh |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1545 E Southlake Blvd, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053387829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | F7040 (Texas) | Primary |
Entity Name | Southlake Emergicare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506 |
Mailing Address | Practice Location Address |
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Daniel Peckenpaugh, MD Po Box 720508, Norman, OK 73070-4373 Ph: (877) 485-4474 | Daniel Peckenpaugh, MD 1545 E Southlake Blvd, Southlake, TX 76092-6422 Ph: (817) 748-8700 |
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205 | |
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444 | |
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
James Alan Dennington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Nannette F Crow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2125 W Southlake Blvd Ste 107, Southlake, TX 76092 Phone: 817-680-9858 |