Provider Demographics
NPI:1366492092
Name:FLORES-PEREZ, LILLIAN (MSN, APRN, BC)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:
Last Name:FLORES-PEREZ
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0310
Mailing Address - Country:US
Mailing Address - Phone:832-724-6576
Mailing Address - Fax:
Practice Address - Street 1:9902 ORCHARD CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2046
Practice Address - Country:US
Practice Address - Phone:832-724-6576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525327363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151063803Medicaid
TX8Y8444OtherBCBS
TXP00639858OtherRR MEDICARE
TX8Y8444OtherBCBS
TXP05737Medicare UPIN