Organization
MARIO PEREZ DO PA
Active
Other names
Poteet Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO PEREZ D.O. (PHYSICIAN OWNER)
(830) 742-3637
Entity
Organization
Contact information
Practice address
8555 N STATE HIGHWAY 16, POTEET, TX 78065-4034
(830) 742-3637
(830) 742-3534
Mailing address
8555 N STATE HIGHWAY 16, POTEET, TX 78065-4034
(830) 742-3637
(830) 742-3534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K4526
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092352601
—
TX
05
—
092352602
—
TX
05
—
171626801
—
TX
Enumeration date
07/02/2006
Last updated
06/21/2010
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