Provider Demographics
NPI:1497904700
Name:DR. VICTOR A. PERES, PLLC
Entity Type:Organization
Organization Name:DR. VICTOR A. PERES, PLLC
Other - Org Name:LAPORTE CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PERES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-913-2225
Mailing Address - Street 1:10932 SPENCER HWY STE B
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-4302
Mailing Address - Country:US
Mailing Address - Phone:281-471-5570
Mailing Address - Fax:281-471-4419
Practice Address - Street 1:10932 SPENCER HWY STE B
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-4302
Practice Address - Country:US
Practice Address - Phone:281-471-5570
Practice Address - Fax:281-471-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty