Individual
JOSEPH LESLIE PEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 E 8TH ST STE A, WESLACO, TX 78596-5587
(956) 447-5557
(956) 447-5747
Mailing address
1604 E 8TH ST STE A, WESLACO, TX 78596-5587
(956) 793-2835
(956) 447-5747
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
H5602
TX
207RP1001X
Pulmonary Disease Physician
H5602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128196606
—
TX
Enumeration date
07/07/2005
Last updated
10/02/2018
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