Provider Demographics
NPI:1477797892
Name:PEREZ, JOE JAZETT URANGA (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:JAZETT URANGA
Last Name:PEREZ
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:15630 FOREST CREEK FARMS DR
Mailing Address - Street 2:SUITE 2950
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4432
Mailing Address - Country:US
Mailing Address - Phone:936-414-0974
Mailing Address - Fax:
Practice Address - Street 1:12550 LOUETTA RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2139
Practice Address - Country:US
Practice Address - Phone:281-257-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2017-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06077363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant