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Individual

ANTHONY P PERARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2000 SOUTH MAYS STREET, SUITE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Mailing address
2000 SOUTH MAYS STREET, SUITE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0852002644
IL
363AS0400X
Surgical Physician Assistant
Primary
PA06861
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
216746203
TX
Enumeration date
07/28/2006
Last updated
04/13/2021
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