Individual
RICARDO N/A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP - NNP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
200 W MAGNOLIA AVE STE 201, FT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP138788
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP138788
TX
Other
Enumeration date
09/14/2018
Last updated
06/26/2024
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