Individual
DR. CARLA HAY PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 SW 25TH AVE STE 300, MINERAL WELLS, TX 76067-8242
(940) 328-6239
(940) 328-7051
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7891
(940) 328-6523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
236706
TX
363LF0000X
Family Nurse Practitioner
Primary
AP103488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284707YMC1
MEDICARE PTAN
TX
01
—
284707YMYX
MEDICARE PTAN
TX
Enumeration date
06/03/2006
Last updated
06/14/2023
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