Individual
JIM LEE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
152 SHADOW OAKS DR, ELGIN, TX 78621-8910
(512) 293-8086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP137073
TX
Other
Enumeration date
07/28/2016
Last updated
06/15/2020
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