Individual
MRS. MARTHA KAY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6621 SILVER SADDLE RD, FORT WORTH, TX 76126-9597
(817) 560-9115
Mailing address
6621 SILVER SADDLE RD, FORT WORTH, TX 76126-9597
(817) 560-9115
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
151560
TX
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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