Individual
JEREMIE JESSE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 793-5380
(325) 202-3020
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076PT
BCBS IND # PAIN
TX
05
—
158199309
—
TX
Enumeration date
08/17/2006
Last updated
05/09/2013
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