Perez, Evan Dustin

Perez, Evan Dustin is an individual health care provider with primary practice located at 3804 S Jackson Rd Ste 1 , Edinburg TX 78539-6681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Perez, Evan Dustin can be contacted via phone (956) 296-3001.

Contact Information

Primary practice address
3804 S Jackson Rd Ste 1 Edinburg TX 78539-6681
Phone: (956) 296-3001
Fax: (956) 296-3000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X R0100 Texas

Profile Details

NPI number 1437561412
LBN Legal business name Perez, Evan Dustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2014
Last updated Mar 13th, 2024 - about last year

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 1437561412 NPPES
Texas MEDICAID 3912560-01
Texas Other H08JU12901

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