| Doctor Name: | PEGGY JO KOEPSEL |
| NPI Number: | 1104885086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP LPA ANP |
| License Number: | 232350 |
| Business Practice Address: | 1711 W Wheeler Ave Ste 2 Aransas Pass, TX - 783364536 |
| Business Phone Number: | 3618879600 |
| Business Fax Number: | 3618831661 |
| Mailing Address: | 1711 W Wheeler Ave Ste 2, ARANSAS PASS |
| State: | TX |
| Postal Code: | 783364536 |
| Phone Number: | 3618879600 |
| Fax Number: | 3618831661 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 232350 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |