Individual
JONATHAN DAVID PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-5864
Mailing address
777 HEMLOCK STREET, MACON, GA 31201
(478) 633-1000
(478) 633-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101436
MI
207R00000X
Internal Medicine Physician
S5466
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
078451
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT208166
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
S5466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1M9724
MEDICARE
TX
Enumeration date
04/02/2012
Last updated
04/06/2026
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