Individual
GUILLERMO R PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5015 S MCCOLL RD, EDINBURG, TX 78539-8080
(956) 627-3686
(956) 664-0531
Mailing address
PO BOX 5550, MCALLEN, TX 78502-5550
(956) 627-3686
(956) 664-0531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L7519
TX
2086S0127X
Trauma Surgery Physician
L7519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163901502
—
TX
05
—
163901503
—
TX
05
—
163901504
—
TX
05
—
163901505
—
TX
01
—
8AJ752
BCBS
TX
01
—
P00221107
RAILROAD
TX
01
—
P00911268
RAILROAD MEDICARE
TX
01
—
TXB109453
MEDICARE
TX
Enumeration date
10/27/2006
Last updated
02/22/2016
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