Individual
DR. FRANCISCO M PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
4728 S JACKSON RD, EDINBURG, TX 78539-6199
(956) 878-1222
(956) 878-1228
Mailing address
4728 S JACKSON RD, EDINBURG, TX 78539-6199
(956) 878-1222
(956) 878-1228
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20137
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
20137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155175606
THSTEPS DENTAL MEDICAID
TX
01
—
155175607
CSHCN DENTAL MEDICAID
TX
01
—
155175608
TRADITIONAL MEDICAID
TX
01
—
155175609
CSHCN MEDICAL MEDICAID
TX
Enumeration date
10/26/2005
Last updated
02/28/2011
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