Provider Demographics
NPI:1275145245
Name:PEREZ, ALMA AURORA
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:AURORA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 N HIGHWAY 146
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-8700
Mailing Address - Country:US
Mailing Address - Phone:281-420-9827
Mailing Address - Fax:281-427-9394
Practice Address - Street 1:4849 N HIGHWAY 146
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-8700
Practice Address - Country:US
Practice Address - Phone:281-420-9827
Practice Address - Fax:281-427-9394
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist