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Individual

BOBBY PERALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M3686
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15234583
TEXAS DRIVERS LICENSE
TX
01
M3686
TSBME NUMBER
TX
Enumeration date
08/14/2006
Last updated
01/06/2021
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