Organization
PECK CHIROPRACTIC & REHABILITATION CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J PECK DC (PRESIDENT)
(936) 261-2627
Entity
Organization
Contact information
Practice address
1530 AVENUE O, HUNTSVILLE, TX 77340-4452
(936) 291-2627
(936) 291-3752
Mailing address
1530 AVENUE O, HUNTSVILLE, TX 77340-4452
(936) 291-2627
(936) 291-3752
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601995
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/11/2007
Last updated
06/14/2011
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