Individual provider · Type 1 NPI
Peggy Kay Creasy, PAC
Medical Physician Assistant · Dallas, TX
NPI number
1811906332
Active
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Fax (214) 645-8801
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA04789 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1811906332
Peggy Kay Creasy, PAC's National Provider Identifier is 1811906332, issued on Aug 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Nov 27, 2007.