MEDICARE: DR. JACQUELYN PERRY D.P.M.

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	213ES0131X	Foot Surgery Podiatrist	1244	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4407693	OTHER	TX	AETNA PPO
2	621526786	OTHER	TX	PHCS
3	621526786	OTHER	TX	UNITED HEALTHCARE
4	621526786	OTHER	TX	PACIFICARE/SECURE HORIZON
5	00L64N	OTHER	TX	BLUE CROSS BLUE SHEILD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	2097757	OTHER	TX	AETNA HMO

General Provider Information

NPI Number	:	1346200649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELYN PERRY D.P.M.

Provider Business Mailing Address
First Line	:	3020 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4116
Country	:	US
Telephone Number	:	817-838-9424
Fax Number	:	817-838-9425

Provider Business Practice Location Address
First Line	:	3020 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4116
Country	:	US
Telephone Number	:	817-838-9424
Fax Number	:	817-838-9425

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	10/07/2009

Similar Medicare Providers

1922068220 — DR. TERRY WRIGHT DPM
Practice Location Address:

3020 RACE ST
FORT WORTH, TX
76111-4116

Practice Phone: 817-838-9424
Practice Fax: 817-838-9425

1740462829 — PERRYWRIGHT AND ASSOCIATES
Practice Location Address:

3020 RACE ST
FORT WORTH, TX
76111-4116

Practice Phone: 817-838-9425
Practice Fax:

1427436641 — PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Practice Location Address:

3020 RACE ST
FORT WORTH, TX
76111-4116

Practice Phone: 817-838-9424
Practice Fax:

1417594946 — EDWARDS RANCH DENTAL GROUP, PLLC
Practice Location Address:

5701 EDWARDS RANCH RD
FORT WORTH, TX
76109-4116

Practice Phone: 817-332-6211
Practice Fax:

1275506644 — SCOTT T STOLL DO, PHD
Practice Location Address:

5717 EDWARDS RANCH RD
FORT WORTH, TX
76109-4116

Practice Phone: 817-294-3195
Practice Fax: 817-294-3466

1780788596 — CVS PHARMACY INC
Practice Location Address:

6000 BRYANT IRVIN RD
FORT WORTH, TX
76132-4116

Practice Phone: 817-292-8000
Practice Fax: 817-292-1247

Directions to “ DR. JACQUELYN PERRY D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.