Organization
JPS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBA ILIANA PEREZ FNP (FAMILY NURSE PRACTITIONER)
(817) 920-6353
Entity
Organization
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
1608 STONELEIGH CT APT 1012, ARLINGTON, TX 76011-2708
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
703992
TX
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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