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Individual

KAREN L PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12702 N IH 35, LIVE OAK, TX 78233-2609
(210) 650-9669
(210) 650-0750
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 560-9669
(210) 650-0750

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
607778
TX
363LF0000X
Family Nurse Practitioner
607778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280802402
TX
01
884N83
BCBSTX
TX
01
P01136166
RR MCR
TX
01
P01136166
RAILROAD MEDICARE
Enumeration date
05/02/2008
Last updated
02/11/2022
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