# SPIELMAN PEAK LOIS & HUMES DDS MS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972614071
- **Authorized official:** DR. ROBERT B. PEAK DDS (DOCTOR)
- **Authorized official phone:** 81729293605

## Contact information

- **Practice address:** 7217 HAWKINS VIEW DR, SUITE 200, FORT WORTH, TX 76132-3927
- **Practice address phone:** (817) 292-3605
- **Practice address fax:** (817) 292-1743
- **Mailing address:** 7217 HAWKINS VIEW DR, SUITE 200, FORT WORTH, TX 76132-3927
- **Mailing address phone:** (817) 292-3605
- **Mailing address fax:** (817) 292-1743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10551 | TX | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16382 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21107 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 23154 | TX | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/25/2012
