J.I. Perales Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E3403 Issued in TX

Legal business name

J.I. PERALES MDPA

Practice address

202 S McGee St
Borger, TX 79007-4022

Phone

(806) 273-7118

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jesse I Perales, MD

Title

President

Phone

(806) 273-7118

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1790711281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3188",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790083188",
            "telephone_number": "806-273-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MCGEE ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074022",
            "telephone_number": "806-273-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.I. PERALES MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-273-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E3403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00QB44",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Borger, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.