| Brenda Selene Perez, | |
| 1309 S 10th St, Mcallen, TX 78501-5023 | |
| (956) 360-7889 | |
| (956) 800-5311 | 
| Full Name | Brenda Selene Perez | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1309 S 10th St, Mcallen, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104334192 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 780789 (Texas) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | AP142519 (Texas) | Primary | 
| Entity Name | D Vine Beauty Studio | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457942278 PECOS PAC ID: 7517375306 Enrollment ID: O20210415001485 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brenda Selene Perez, 306 E Sabatina Ave, Pharr, TX 78577-7824 Ph: (956) 360-7889 | Brenda Selene Perez, 1309 S 10th St, Mcallen, TX 78501-5023 Ph: (956) 360-7889 | 
| Semper Lumine Tanamor Sojor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Beech Ave Ste 100, Mcallen, TX 78501 Phone: 956-800-5171 Fax: 956-800-5178 | |
| Liji Ann Mathew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 E Nolana Ave Ste 13a, Mcallen, TX 78504 Phone: 956-686-2700 Fax: 956-686-2708 | |
| Gabino Vicente Leal,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 E Quamasia Ave Apt 127, Mcallen, TX 78504 Phone: 956-570-2127 | |
| Laura Iris Carrillo,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5408 N 10th St, Mcallen, TX 78504 Phone: 956-803-0153 Fax: 956-803-0135 | |
| Martin Vicente Hernandez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1421 N Col Rowe Blvd Ste A, Mcallen, TX 78501 Phone: 956-362-5030 Fax: 956-362-5035 | |
| Uloma Ezinne Obi,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 E Savannah Ave Ste 203, Mcallen, TX 78503 Phone: 956-212-5255 | |
| Mr. Ignacio Villarreal Ii, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4418 N Mccoll Road, Mcallen, TX 78504 Phone: 956-994-3771 Fax: 956-994-9082 |