Individual
MICHAEL S PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
054308
GA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
N1416
TX
Other
Enumeration date
03/19/2007
Last updated
04/21/2021
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