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Individual
LUIS DANIEL PEREZ
Active
Individual
LUIS DANIEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7863511
AETNA
TX
01
—
8N4701
BCBS
TX
01
—
P00217741
RAILROAD MEDICARE
TX
05
—
PA03892
—
TX
Enumeration date
06/14/2006
Last updated
10/23/2007
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