Individual
BRENDA KAY PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17350 ST LUKES WAY, SUITE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
(832) 249-3861
Mailing address
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H8316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127667707
—
TX
Enumeration date
08/09/2005
Last updated
12/16/2024
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