Individual
LUIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 W MAIN ST, SUITE A, GUN BARREL CITY, TX 75156-5320
(903) 880-9900
(903) 880-9902
Mailing address
3323 S LOOP 256, PALESTINE, TX 75801-6977
(903) 723-1010
(903) 723-0314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6799T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178298901
—
TX
Enumeration date
08/18/2006
Last updated
07/08/2007
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