Perez, Derica

Perez, Derica is an individual health care provider with primary practice located at 4645 Samuell Blvd , Dallas TX 75228-6826. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Perez, Derica can be contacted via phone (214) 275-7393.

Contact Information

Primary practice address
4645 Samuell Blvd Dallas TX 75228-6826
Phone: (214) 275-7393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP130069 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1730554890
LBN Legal business name Perez, Derica
Credentials APPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2015
Last updated Mar 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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