Individual
TARON TARAY PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
4305 N MESA ST, SUITE A, EL PASO, TX 79902-1123
(915) 532-2477
(915) 532-2470
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5600
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP121725
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
751885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301437501
—
TX
01
—
751885
STATE LICENSE
TX
Enumeration date
03/05/2012
Last updated
03/18/2024
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