Peraza, Ron J

Peraza, Ron J is an individual health care provider with primary practice located at 5106 Blue Haven Dr , Midland TX 79703-6301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peraza, Ron J can be contacted via phone (432) 889-7484.

Contact Information

Primary practice address
5106 Blue Haven Dr Midland TX 79703-6301
Phone: (432) 889-7484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 641417 Texas

Profile Details

NPI number 1386918225
LBN Legal business name Peraza, Ron J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2012
Last updated May 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386918225 NPPES
Texas Other P01220701 RAILROAD MCARE
Texas MEDICAID 300987001 RAILROAD MCARE

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