Individual
DR. EVAN DUSTIN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3804 S JACKSON RD STE 1, EDINBURG, TX 78539-6681
(956) 296-3001
(956) 296-3000
Mailing address
PO BOX 531968, HARLINGEN, TX 78553-1968
(833) 847-4863
(956) 296-6842
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
R0100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3912560-01
—
TX
01
—
H08JU12901
BCBS
TX
Enumeration date
05/27/2014
Last updated
03/13/2024
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