Provider Demographics
NPI:1952678880
Name:PEREZ, KARLA ALEJANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:ALEJANDRA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13725 NORTHWEST BLVD
Mailing Address - Street 2:STE 120
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5127
Mailing Address - Country:US
Mailing Address - Phone:361-387-9413
Mailing Address - Fax:361-387-9616
Practice Address - Street 1:13725 NORTHWEST BLVD
Practice Address - Street 2:STE 120
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5127
Practice Address - Country:US
Practice Address - Phone:361-387-9413
Practice Address - Fax:361-387-9616
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2016-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP6500207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX326462401Medicaid
TX310344YLPSOtherWELLMED PTAN
TX326462402Medicaid
TX310344YNM1Medicare PIN