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Organization

PECK MEDICAL SERVICES

Active
Other names
Nepenthe Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLLE CROOM-PERNAVAS (DIRECTING MANAGER)
(512) 986-7723
Entity
Organization

Contact information

Practice address
1210 COTTONWOOD CREEK TRL STE 410, CEDAR PARK, TX 78613-2688
(512) 986-7723
(512) 493-0485
Mailing address
1210 COTTONWOOD CREEK TRL STE 410, CEDAR PARK, TX 78613-2688
(512) 986-7723

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QP3300X
Pain Clinic/Center

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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