Perez, Guillermo R

Perez, Guillermo R is an sole proprietor health care provider with primary practice located at 5015 S Mccoll Rd , Edinburg TX 78539-8080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Perez, Guillermo R can be contacted via phone (956) 627-3686.

Contact Information

Primary practice address
5015 S Mccoll Rd Edinburg TX 78539-8080
Fax: (956) 664-0531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L7519 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X L7519 Texas

Profile Details

NPI number 1174609564
LBN Legal business name Perez, Guillermo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Feb 22nd, 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 1174609564 NPPES
Texas MEDICAID 163901503
Texas MEDICAID 163901502
Texas Other 8AJ752
Texas Other TXB109453
Texas Other P00221107
Texas Other P00911268
Texas MEDICAID 163901505
Texas MEDICAID 163901504

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