Individual
MICHAEL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9153 HUEBNER RD, SAN ANTONIO, TX 78240-1502
(210) 962-5709
(210) 579-7807
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N5329
TX
2086S0129X
Vascular Surgery Physician
2010007596
MO
2086S0129X
Vascular Surgery Physician
Primary
N5329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281171301
—
TX
Enumeration date
11/01/2006
Last updated
09/30/2025
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