# DIABETES AND CARDIOVASCULAR OF ROCKPORT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033509732
- **Authorized official:** MARIO PEREZ D.O. (OWNER)
- **Authorized official phone:** (361) 790-5155

## Contact information

- **Practice address:** 2600 LAKEVIEW DR, SUITE D, ROCKPORT, TX 78382-3552
- **Practice address phone:** (361) 790-5155
- **Practice address fax:** (361) 790-5156
- **Mailing address:** 2600 LAKEVIEW DR, SUITE D, ROCKPORT, TX 78382-3552
- **Mailing address phone:** (361) 790-5155
- **Mailing address fax:** (361) 790-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K4526 | TX | — |
| 208D00000X | General Practice Physician | J1539 | TX | Yes |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 04/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00N7N0 | BCBS | TX |