Peabody, Brenda Kay

Peabody, Brenda Kay is an individual health care provider with primary practice located at 17350 St Lukes Way Suite 400, The Woodlands TX 77384-4167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Peabody, Brenda Kay can be contacted via phone (281) 444-3278.

Contact Information

Primary practice address
17350 St Lukes Way Suite 400 The Woodlands TX 77384-4167
Fax: (832) 249-3861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X H8316 Texas

Profile Details

NPI number 1861493389
LBN Legal business name Peabody, Brenda Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861493389 NPPES
Texas MEDICAID 127667707

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