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Individual
JUAN CARLOS PEREZ
Active
Individual
JUAN CARLOS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1110085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110085
TEXAS BOARD OF NURSING
TX
Enumeration date
03/01/2023
Last updated
06/13/2025
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