Organization
CENTRO MEDICO INTEGRAL HISPANO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELIO PEREZ GARCIA FNP (AUTHORIZE OFFICIAL/OWNER)
(214) 647-1165
Entity
Organization
Contact information
Practice address
2110 N GALLOWAY AVE STE 108, MESQUITE, TX 75150-5779
(305) 539-8084
Mailing address
2110 N GALLOWAY AVE STE 108, MESQUITE, TX 75150-5779
(305) 539-8084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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