Individual
DR. RADIE FLOYD PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 508, DALLAS, TX 75231-4427
(214) 691-6029
(214) 373-6857
Mailing address
8220 WALNUT HILL LN, SUITE 508, DALLAS, TX 75231-4427
(214) 691-6029
(214) 373-6857
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G6753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109408802
—
TX
05
—
122503904
—
TX
01
—
2839522003
CIGNA
TX
01
—
4140238
AETNA
TX
01
—
8559K0
MEDICARE
TX
01
—
88T402
BLUE CROSS
TX
Enumeration date
10/03/2006
Last updated
05/13/2016
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