Provider Demographics
NPI:1174046270
Name:PEREZ, CAYLA HENRY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CAYLA
Middle Name:HENRY
Last Name:PEREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CAYLA
Other - Middle Name:LYN
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1612 W VILLA MARIA RD STE 130
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-2310
Mailing Address - Country:US
Mailing Address - Phone:979-690-4836
Mailing Address - Fax:976-690-4837
Practice Address - Street 1:1612 W VILLA MARIA RD STE 130
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-2310
Practice Address - Country:US
Practice Address - Phone:979-690-4836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily