Provider Demographics
NPI:1649224312
Name:PERRYMAN, JOE LEE III (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:LEE
Last Name:PERRYMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 MATLOCK RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3680
Mailing Address - Country:US
Mailing Address - Phone:817-466-8001
Mailing Address - Fax:
Practice Address - Street 1:3612 MATLOCK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3680
Practice Address - Country:US
Practice Address - Phone:817-466-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5376207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine