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Individual

DAVEY M PERRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
206 S CLAY ST STE A, ENNIS, TX 75119-4530
(903) 229-4292
(903) 229-4288
Mailing address
206 S CLAY ST STE A, ENNIS, TX 75119-4530
(903) 229-4292
(903) 229-4288

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301086588
MI
207Q00000X
Family Medicine Physician
Primary
N4662
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301086588
STATE LICENSE
MI
Enumeration date
10/13/2006
Last updated
02/22/2024
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