Organization
JOSE PEREZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE PEREZ M.D. (OWNER)
(361) 661-0388
Entity
Organization
Contact information
Practice address
230 S GULF ST, ALICE, TX 78332
(361) 661-0388
(361) 661-0631
Mailing address
PO BOX 1760, ALICE, TX 78333-1760
(361) 661-0388
(361) 661-0631
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L1694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006KV
BCBS GROUP NUMBER
TX
Enumeration date
05/15/2007
Last updated
11/02/2007
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