Provider Demographics
NPI:1710360763
Name:PEREZ, HEATHER CHRISTIE (APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:CHRISTIE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 BEAR RAM ROAD
Mailing Address - Street 2:#T-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072
Mailing Address - Country:US
Mailing Address - Phone:832-658-5210
Mailing Address - Fax:281-564-4639
Practice Address - Street 1:12360 BEAR RAM ROAD
Practice Address - Street 2:#T-1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072
Practice Address - Country:US
Practice Address - Phone:832-658-5210
Practice Address - Fax:281-564-4639
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily