Organization Active NPI

Gregory Peco PA - C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1396064762
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04031 Issued in TX
Legal business name
GREGORY PECO PA - C
Practice address
11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629
Phone
(281) 444-7726
Fax
(281) 444-9426
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory A Peco, PA-C
Title
Physician Assistant
Phone
(281) 444-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA04031 TX Primary

Addresses

Primary practice location

11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629

Mailing address

11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629
Phone (281) 444-7726

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1396064762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 VETERANS MEMORIAL DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672629",
            "telephone_number": "281-444-7726",
            "fax_number": "281-444-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 VETERANS MEMORIAL DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672629",
            "telephone_number": "281-444-7726",
            "fax_number": "281-444-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PECO PA - C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "PECO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "281-444-7726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.