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NPI Code Detail

MEDICARE: EMRIE MARIE PEREZ-FERNANDEZ DPT

MEDICARE: EMRIE MARIE PEREZ-FERNANDEZ DPT
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
12251S0007XSports Physical Therapist1406944TX
22251X0800XOrthopedic Physical Therapist1406944TX

General Provider Information

NPI Number : 1548142680
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMRIE MARIE PEREZ-FERNANDEZ DPT
Provider Business Mailing Address
First Line : 480 WILLOWLAKE DR
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-5092
Country : US
Telephone Number : 214-499-4445
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY STE 145
Second Line :
City : PLANO
State : TX
Zip : 75093-8198
Country : US
Telephone Number : 972-473-8980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

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