Provider Demographics
NPI:1518034297
Name:PERES, VICTOR ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ALLEN
Last Name:PERES
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:10932 SPENCER HWY
Mailing Address - Street 2:STE B
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
Practice Address - Street 2:STE B
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2020-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX10309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor