Individual
LETICIA R. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA
Contact information
Practice address
2800 S INTERSTATE 35 STE 103, AUSTIN, TX 78704-5700
(512) 826-0773
(833) 938-5463
Mailing address
2800 S INTERSTATE 35 STE 103, AUSTIN, TX 78704-5700
(512) 826-0773
(833) 938-5463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04895
TX
363AM0700X
Medical Physician Assistant
Primary
PA04895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04895
TEXAS MEDICAL LIC.
TX
Enumeration date
10/31/2006
Last updated
05/23/2023
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