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Organization
DIABETES AND CARDIOVASCULAR OF ROCKPORT, PLLC
Active
Organization
DIABETES AND CARDIOVASCULAR OF ROCKPORT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO PEREZ D.O. (OWNER)
(361) 790-5155
Entity
Organization
Contact information
Practice address
2600 LAKEVIEW DR, SUITE D, ROCKPORT, TX 78382-3552
(361) 790-5155
(361) 790-5156
Mailing address
2600 LAKEVIEW DR, SUITE D, ROCKPORT, TX 78382-3552
(361) 790-5155
(361) 790-5156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K4526
TX
208D00000X
General Practice Physician
Primary
J1539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N7N0
BCBS
TX
Enumeration date
02/02/2015
Last updated
04/24/2015
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