Peacock, Lester W.

Peacock, Lester W. is an sole proprietor health care provider with primary practice located at 2227 Cornerstone Blvd , Edinburg TX 78539-8472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peacock, Lester W. can be contacted via phone (956) 686-9696.

Contact Information

Primary practice address
2227 Cornerstone Blvd Edinburg TX 78539-8472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J6026 Texas

Profile Details

NPI number 1386617140
LBN Legal business name Peacock, Lester W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jun 3rd, 2024 - about 6 months 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 1386617140 NPPES
Texas MEDICAID 096957802

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