Individual
PEGGY BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4722 TAFT BLVD STE 8, WICHITA FALLS, TX 76308-4800
(940) 264-2625
(940) 264-6401
Mailing address
4722 TAFT BLVD STE 8, WICHITA FALLS, TX 76308-4800
(940) 264-2625
(940) 264-6401
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
1052551
TX
363L00000X
Nurse Practitioner
Primary
1052551
TX
Other
Enumeration date
08/30/2021
Last updated
01/23/2023
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