Organization
CLINICA FAMILIAR PERALTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSLEIDY FERNANDEZ (NURSE PRACTITIONER)
(239) 465-2365
Entity
Organization
Contact information
Practice address
2448 W ILLINOIS AVE, DALLAS, TX 75233-1106
(469) 669-2009
(469) 669-2039
Mailing address
2448 W ILLINOIS AVE, DALLAS, TX 75233-1106
(469) 669-2009
(469) 669-2039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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