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NPI Code Detail

MEDICARE: ELIZABETH DANIELLE DOOLING PEREZ

MEDICARE: ELIZABETH DANIELLE DOOLING PEREZ
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
1251E00000XHome Health Agency
22355S0801XSpeech-Language Assistant40862TX

General Provider Information

NPI Number : 1932677051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH DANIELLE DOOLING PEREZ
Provider Business Mailing Address
First Line : 3208 BRIXTON DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-6680
Country : US
Telephone Number : 956-537-6899
Fax Number :
Provider Business Practice Location Address
First Line : 7060 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7119
Country : US
Telephone Number : 214-865-8119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 07/08/2024

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Directions to “ ELIZABETH DANIELLE DOOLING PEREZ ” Practice Location

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