Provider Demographics
NPI:1467554345
Name:JOHN E PEREZ CORPORATION
Entity Type:Organization
Organization Name:JOHN E PEREZ CORPORATION
Other - Org Name:PEREZ HEARING CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIOPROSTHOLOGIST
Authorized Official - Phone:903-784-8637
Mailing Address - Street 1:3465 PINE MILL RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4938
Mailing Address - Country:US
Mailing Address - Phone:903-784-8637
Mailing Address - Fax:903-737-9638
Practice Address - Street 1:3465 PINE MILL RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4938
Practice Address - Country:US
Practice Address - Phone:903-784-8637
Practice Address - Fax:903-737-9638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50143237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530380OtherBLUE CROSS BLUE SHIELD