Individual
KATIE CORBETT PEEPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
787924
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342786601
—
TX
01
—
8727UH
BCBS
TX
01
—
P01445907
RAILROAD
TX
Enumeration date
05/17/2014
Last updated
01/13/2017
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