Individual
LUIS ENRIQUE PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1879 S VETERANS BLVD STE 5, EAGLE PASS, TX 78852-6617
(830) 513-1525
Mailing address
3104 CALLE SANTOS, EAGLE PASS, TX 78852-5788
(830) 513-1525
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/11/2019
Last updated
10/21/2022
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