Individual
MERARY MADAI PERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6022 FM 1488 RD, MAGNOLIA, TX 77354-2542
(281) 583-1980
Mailing address
317 HARDY ST, HUNTSVILLE, TX 77340-7122
(936) 215-2236
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16466
PA LICENSE NUMBER
TX
Enumeration date
02/24/2023
Last updated
03/02/2023
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