Peebles, Taron Taray

Peebles, Taron Taray is an individual health care provider with primary practice located at 4305 N Mesa St Suite A, El Paso TX 79902-1123. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Peebles, Taron Taray can be contacted via phone (915) 532-2477.

Contact Information

Primary practice address
4305 N Mesa St Suite A El Paso TX 79902-1123
Phone: (915) 532-2477
Fax: (915) 532-2470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP121725 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 751885 Texas

Profile Details

NPI number 1437423696
LBN Legal business name Peebles, Taron Taray
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2012
Last updated Mar 18th, 2024 - about 9 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 1437423696 NPPES
Texas Other 751885 STATE LICENSE
Texas MEDICAID 301437501 STATE LICENSE

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