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Individual

MRS. ELAINE R PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP138888
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
393993601
TX
Enumeration date
12/19/2018
Last updated
03/19/2019
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