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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1861548778 NPPES
Other 52057B005 TRICARE
Other IA0109 TRICARE
Other 25402 TRICARE

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