Individual
NICHOLAS PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
1102 W TRENTON RD, EDINBURG, TX 78539-9105
(956) 388-6000
(956) 289-2956
Mailing address
5111 N 10TH ST, # 112, MCALLEN, TX 78504-2835
(956) 631-9739
(956) 631-6717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K3389
TX
208M00000X
Hospitalist Physician
Primary
K3389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029XR
BC/BS
TX
05
—
190654701
—
TX
Enumeration date
06/10/2005
Last updated
01/27/2020
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