Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 125-051674 | IL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A117254 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | Q7259 | TX |
NPI | 1346462496 |
---|---|
Provider Name | Christopher A Perro |
First Address | San Antonio, TX 78259-0140 |
Second Address | Tyler, TX 75703-0642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 28/10/2019 |