Provider Demographics
NPI:1639240898
Name:PERRY, DEBRA LEE (DC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEE
Last Name:PERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FAIRMONT PKWY STE M
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2970
Mailing Address - Country:US
Mailing Address - Phone:713-946-1441
Mailing Address - Fax:713-944-2401
Practice Address - Street 1:1001 FAIRMONT PKWY STE M
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2970
Practice Address - Country:US
Practice Address - Phone:713-946-1441
Practice Address - Fax:713-944-2401
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT15249Medicare UPIN
TX601903Medicare ID - Type Unspecified