Individual
JUAN CARLOS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
(224) 623-0079
Mailing address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
(224) 623-0079
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1110085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110085
TEXAS BOARD OF NURSING
TX
Enumeration date
03/01/2023
Last updated
06/13/2025
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