Individual
DR. CARLOS LUIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K5655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105129402
—
TX
Enumeration date
04/18/2006
Last updated
03/24/2011
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