Provider Demographics
NPI:1659525210
Name:PEREZ, JOSEPH M
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 NORTH LOOP W
Mailing Address - Street 2:103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8127
Mailing Address - Country:US
Mailing Address - Phone:713-426-2610
Mailing Address - Fax:
Practice Address - Street 1:2040 NORTH LOOP W
Practice Address - Street 2:103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8127
Practice Address - Country:US
Practice Address - Phone:713-426-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies