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Individual

GREGORY A PECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5915 LA CROSSE AVE STE 140, AUSTIN, TX 78739-1783
(512) 877-5333
(503) 954-2122
Mailing address
5915 LA CROSSE AVE STE 140, AUSTIN, TX 78739-1783
(512) 877-5333
(503) 954-2122

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295041820
TX
Enumeration date
07/10/2008
Last updated
11/17/2022
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