Perez, Mario

Perez, Mario is an individual health care provider with primary practice located at 2600 Lakeview Dr Suite D, Rockport TX 78382-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Mario can be contacted via phone (361) 790-5155.

Contact Information

Primary practice address
2600 Lakeview Dr Suite D Rockport TX 78382-3552
Phone: (361) 790-5155
Fax: (361) 790-5156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K4526 Texas

Profile Details

NPI number 1841222890
LBN Legal business name Perez, Mario
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 24th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841222890 NPPES
Texas Other 8EZ458 BCBS

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