Individual
DEANNA KAY PEELGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
2915 W BITTERS RD STE 201, SAN ANTONIO, TX 78248-2007
(254) 290-2113
Mailing address
2967 OAK RUN PKWY, STE. 505, RM #12, NEW BRAUNFELS, TX 78132-5379
(210) 598-2800
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185830
NBSTSA
—
Enumeration date
10/11/2018
Last updated
03/23/2022
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