MEDICARE: MR. FRANCIS A PEREZ LSA

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
1	246ZC0007X	Surgical Assistant	SA00486	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA009	OTHER	DC	SURGICAL ASSISTANT
2	SA00486	OTHER	TX	SURGICAL ASSISTANT'S LICENSE

General Provider Information

NPI Number	:	1245206481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCIS A PEREZ LSA

Provider Business Mailing Address
First Line	:	8106 CONNER CV
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4039
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Provider Business Practice Location Address
First Line	:	8106 CONNER COVE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-4157
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/08/2022

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