Peks Medical Services LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

PEKS MEDICAL SERVICES LLC

Practice address

5802 Eden Crest CT
Richmond, TX 77407-1617

Phone

(281) 975-8819

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Eunice Koffi, NP

Title

Owner

Phone

(281) 975-8819

Specialties & licenses 1

Addresses

Other names 1

• PEKS MEDICAL SERVICES LLC Former legal business name

Locations

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1558029389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 EDEN CREST CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071617",
            "telephone_number": "281-975-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 EDEN CREST CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071617",
            "telephone_number": "281-975-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "KOFFI",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-975-8819",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEKS MEDICAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PEKS MEDICAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.