Provider Demographics
NPI:1811629264
Name:PERRETT, DIANA VERONICA (PA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:VERONICA
Last Name:PERRETT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-8500
Mailing Address - Fax:956-362-8735
Practice Address - Street 1:5405 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2206
Practice Address - Country:US
Practice Address - Phone:956-362-8500
Practice Address - Fax:956-362-8735
Is Sole Proprietor?:No
Enumeration Date:2022-06-25
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA16579363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant