Provider Demographics
NPI:1194915207
Name:STEVEN P. PESKIND, M.D. & ASSOC. PA
Entity type:Organization
Organization Name:STEVEN P. PESKIND, M.D. & ASSOC. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:PESKIND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-596-2552
Mailing Address - Street 1:5957 DALLAS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7822
Mailing Address - Country:US
Mailing Address - Phone:972-596-2552
Mailing Address - Fax:972-964-8745
Practice Address - Street 1:5957 DALLAS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7822
Practice Address - Country:US
Practice Address - Phone:972-596-2552
Practice Address - Fax:972-964-8745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7089207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00762NOtherMEDICARE PROVIDER NUMBER
TXF74228Medicare UPIN