NPI: 1790711281 · BORGER, TX 79007 · Internal Medicine Physician · NPI assigned 06/25/2006
| Authorized Official | PERALES, JESSE (PRESIDENT) |
| NPI Enumeration Date | 06/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $970.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 26 | 25 | $970.75 |