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NPI Code Detail

MEDICARE: ANTHONY JOSEPH PERRI III MD

MEDICARE:   ANTHONY JOSEPH PERRI III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianM6826TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003010687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY JOSEPH PERRI III MD
Provider Business Mailing Address
First Line : PO BOX 3265
Second Line :
City : HOUSTON
State : TX
Zip : 77253-3265
Country : US
Telephone Number : 936-522-4966
Fax Number : 936-522-4998
Provider Business Practice Location Address
First Line : 4015 INTERSTATE 45 N STE 200
Second Line :
City : CONROE
State : TX
Zip : 77304-5076
Country : US
Telephone Number : 936-522-4966
Fax Number : 936-522-4998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 09/01/2023

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Directions to “ ANTHONY JOSEPH PERRI III MD” Practice Location

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