| NPI | 1558029389 |
|---|---|
| Former Legal Business Name | PEKS MEDICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | EUNICE KOFFI Owner 281-975-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-12-10 |