Individual
DR. CARLOS LUIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 TEXAS BLVD, STE D, TEXARKANA, TX 75501-5163
(903) 792-3660
(903) 793-3187
Mailing address
921 TEXAS BLVD, STE D, TEXARKANA, TX 75501-5163
(903) 792-3660
(903) 793-3187
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K9147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140912001
—
TX
01
—
200092740A
OK CAID
OK
01
—
8A801
TX BCBS
TX
01
—
98310
AR BCBS
AR
Enumeration date
07/17/2006
Last updated
04/28/2008
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