Individual
DANIEL PECKENPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6422
(817) 748-8700
Mailing address
PO BOX 720508, NORMAN, OK 73070-4373
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F7040
TX
Other
Enumeration date
02/23/2006
Last updated
11/07/2019
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