Individual
JUAN M PEREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78416-2347
(361) 851-6900
Mailing address
925 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78416-2347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171852
TX
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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