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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437423696 | NPPES |
Texas | Other | 751885 | STATE LICENSE |
Texas | MEDICAID | 301437501 | STATE LICENSE |
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