Individual
MICHAEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 W SPRING VALLEY RD, RICHARDSON, TX 75081-4034
(972) 238-1976
(972) 238-0456
Mailing address
208 W SPRING VALLEY RD, RICHARDSON, TX 75081-4034
(972) 238-1976
(972) 238-0456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30036
TEXAS LICENSE
TX
Enumeration date
07/11/2007
Last updated
07/11/2007
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