| Doctor Name: | MRS. LINDA B PERRIN |
| NPI Number: | 1104205863 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, CPNP |
| License Number: | 513907 |
| Business Practice Address: | 811 Ira E Woods Ave Grapevine, TX - 760514012 |
| Business Phone Number: | 8174813585 |
| Business Fax Number: | 8174216529 |
| Mailing Address: | 811 Ira E Woods Ave, GRAPEVINE |
| State: | TX |
| Postal Code: | 760514012 |
| Phone Number: | 8174813585 |
| Fax Number: | 8174216529 |
| NPI Enumeration Date: | 05/27/2015 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 513907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |