Individual
CARLA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N HOUSTON ST, DALLAS, TX 75219-7655
(210) 214-6237
Mailing address
2500 N HOUSTON ST APT 1401, DALLAS, TX 75219-7660
(210) 214-6237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
957712
TX
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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