Organization
MARIO PEREZ DO PA
Active
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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