Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | N5677 | TX |
N | 207Q00000X | Family Doctor | MD00042086 | WA |
Y | 207Q00000X | Family Doctor | N5677 | TX |
NPI | 1003977323 |
---|---|
Provider Name | Dr. Julian Alberto Florez-Perez |
First Address | Mission, TX 78573-0055 |
Second Address | Mission, TX 78572-8518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 10/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0172398 | WA STATE DEPT L&I # (01) | WA |
8357428 | (05) | WA |
8938967 | DEPT L&I CV # (01) | WA |
8CR708 | BCBS (01) | TX |
H89762 | (02) | WA |