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Individual

DR. ENRIQUE A PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4325 N JOSEY LN, TRINITY MEDICAL PLAZA III, SUITE 200, CARROLLTON, TX 75010-4635
(972) 394-4368
(972) 394-4941
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
J5443
TX
207RX0202X
Medical Oncology Physician
Primary
J5443
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124523507
TX
05
124523508
TX
05
124523509
TX
05
124523513
TX
05
124523514
TX
01
P01530295
RAILROAD MEDICARE
TX
Enumeration date
05/10/2006
Last updated
01/08/2016
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