Perez, Alissa J
Perez, Alissa J is an individual health care provider with primary practice located at 1600 11Th St , Wichita Falls TX 76301-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Perez, Alissa J can be contacted via phone (940) 764-7000.Contact Information
Primary practice address
1600 11Th St
Wichita Falls TX 76301-4300
Phone: (940) 764-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001309 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA05746 | Texas |
Profile Details
NPI number | 1861548778 |
---|---|
LBN Legal business name | Perez, Alissa J |
Credentials | P.A.C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Nov 1st, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861548778 | NPPES |
Other | 52057B005 | TRICARE | |
Other | IA0109 | TRICARE | |
Other | 25402 | TRICARE |
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