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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