Individual
MS. MARTA ELAINE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15600 SAN PEDRO STE 307, SAN ANTONIO, TX 78232-3739
(210) 494-2343
(210) 545-1657
Mailing address
PO BOX 700168, SAN ANTONIO, TX 78270-0168
(210) 494-2343
(210) 545-1657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
209140
TX
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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