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NPI Code Detail

MEDICARE: ELIZABETH I. PEREZ & ASSOCIATES, INC.

MEDICARE: ELIZABETH I. PEREZ & ASSOCIATES, INC.
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
1311Z00000XCustodial Care Facility12160TX
2311Z00000XCustodial Care Facility
3261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2945775169OTHERTXTDHCONNECT ID NUMBER

General Provider Information

NPI Number : 1417020892
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELIZABETH I. PEREZ & ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 3120 WEST NORTHWEST HIGHWAY
Second Line :
City : DALLAS
State : TX
Zip : 75220-5943
Country : US
Telephone Number : 214-351-1212
Fax Number : 214-350-8760
Provider Business Practice Location Address
First Line : 3120 WEST NORTHWEST HIGHWAY
Second Line :
City : DALLAS
State : TX
Zip : 75220-5943
Country : US
Telephone Number : 214-351-1212
Fax Number : 214-350-8760
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. ELIZABETH ISABEL PEREZ
Credential :
Telephone Number : 214-351-1212
Provider Enumeration Date : 11/15/2006
Last Update Date : 06/27/2019

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Directions to “ELIZABETH I. PEREZ & ASSOCIATES, INC. ” Practice Location

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