IndividualActive
Brian Peacock
NPI 1689965105 · Other Technician · Waco, TX
Provider details
- NPI number
- 1689965105
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5301 Bosque Blvd
Suite 330
Waco, TX 76710-4458
Phone: (254) 751-1131
Fax: (254) 751-1977
Approximate (ZIP-level) locationGet directions
Mailing address
5301 Bosque Blvd
Waco, TX 76710-4458
Registry dates
- Enumerated
- 2011-05-02
- Last updated
- 2011-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.