Individual
DR. JOHN W. PERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4242 MEDICAL DR, SUITE 6300, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Mailing address
4242 MEDICAL DR, SUITE 6300, SAN ANTONIO, TX 78229-5640
(210) 614-8400
(210) 614-8165
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151191701
—
TX
Enumeration date
08/11/2006
Last updated
07/08/2007
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