Provider Demographics
NPI:1770688020
Name:PEREZ, FRANCISCO I (PHD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:I
Last Name:PEREZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN
Mailing Address - Street 2:SUITE 1810
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-790-1225
Mailing Address - Fax:713-790-1932
Practice Address - Street 1:6560 FANNIN
Practice Address - Street 2:SUITE 1810
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-790-1225
Practice Address - Fax:713-790-1932
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20995103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00HB63Medicare ID - Type Unspecified
R58036Medicare UPIN