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Individual

MARK EDWARD PEELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3557 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4505
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-4717

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L2544
TX
207RC0000X
Cardiovascular Disease Physician
L2544
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
L2544
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
TX2544
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307109401
TX
01
8DH278
BCBSTX
TX
Enumeration date
09/06/2006
Last updated
01/30/2021
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