Individual
ELIZABETH K. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, SUITE 1C143, LUBBOCK, TX 79430-8143
(806) 743-2757
(806) 743-2563
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-8143
(806) 743-2757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J0185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100146160A
—
OK
05
—
121233102
—
TX
01
—
121233103
FIRSTCARE COMMERCIAL
TX
05
—
139164106
—
TX
05
—
139164114
—
TX
01
—
80729Z
HMO BLUE
TX
01
—
88502
PRESBYTERIAN COMMERCAIL
NM
05
—
88502
—
NM
01
—
89C626
BCBS
TX
01
—
A206
TRIWEST
NM
05
—
R9487
—
NM
Enumeration date
08/16/2005
Last updated
07/18/2018
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