Provider Demographics
NPI:1104024207
Name:LI-PELAEZ, JOANNE RAQUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:RAQUEL
Last Name:LI-PELAEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10824 E CRYSTAL FALLS PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4301
Mailing Address - Country:US
Mailing Address - Phone:512-528-6100
Mailing Address - Fax:512-528-6200
Practice Address - Street 1:10824 E CRYSTAL FALLS PKWY STE 201
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-4301
Practice Address - Country:US
Practice Address - Phone:512-528-6100
Practice Address - Fax:512-528-6200
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7798208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics