Individual
VAN EMMET PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2455 NE LOOP 410, STE 100, SAN ANTONIO, TX 78217-5649
(210) 659-2635
(210) 599-1223
Mailing address
4330 MEDICAL DR, STE 500, SAN ANTONIO, TX 78229-3318
(210) 732-3668
(210) 599-1223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K9148
TX
208000000X
Pediatrics Physician
K9148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB150870
WELLMED NETWORKS INC
—
Enumeration date
07/07/2005
Last updated
09/21/2016
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