Individual
ISACC PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N WARE RD, MCALLEN, TX 78501-3517
(956) 316-2224
Mailing address
2805 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739435-01
—
TX
Enumeration date
09/17/2009
Last updated
09/17/2009
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