Individual
MR. DIEGO FERNANDO PERCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
420 BATALLION AVE, FT HOOD, TX 76544
(254) 618-8040
(254) 618-8099
Mailing address
36000 DARNALL LOOP, CARL R DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
125459
TX
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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