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Individual

RAFAEL JOSE PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HILLCREST MEDICAL BLVD, SUITE 212, WACO, TX 76712-8897
(254) 202-5800
(254) 202-5849
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K6225
TX
207RP1001X
Pulmonary Disease Physician
Primary
K6225
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K6225
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0420937-03
TX
01
8AK461
BCBS INDIVIDUAL #
TX
Enumeration date
11/11/2005
Last updated
01/06/2021
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