Provider Demographics
NPI:1447285150
Name:LITTLE, PERRY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:PERRY
Middle Name:LEE
Last Name:LITTLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 S LOOP 256
Mailing Address - Street 2:SUITE 124
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-5932
Mailing Address - Country:US
Mailing Address - Phone:800-423-2111
Mailing Address - Fax:903-723-1537
Practice Address - Street 1:2000 S LOOP 256
Practice Address - Street 2:SUITE 124
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-5932
Practice Address - Country:US
Practice Address - Phone:800-423-2111
Practice Address - Fax:903-723-1537
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-09-04
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Provider Licenses
StateLicense IDTaxonomies
TXK2059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG52537Medicare UPIN