Doctor Name: | DR. JEREMY SETH PERLMAN |
NPI Number: | 1639242050 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A94930 |
Business Practice Address: | 7703 Floyd Curl Dr # 7803 San Antonio, TX - 782293901 |
Business Phone Number: | 3234194577 |
Business Fax Number: | |
Mailing Address: | 4801 Broadway St, Unit 90925 SAN ANTONIO |
State: | TX |
Postal Code: | 782097701 |
Phone Number: | 3234194577 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A94930 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |