Provider Demographics
NPI:1790737633
Name:PERIN, EMERSON C (MD)
Entity Type:Individual
Prefix:DR
First Name:EMERSON
Middle Name:C
Last Name:PERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2338
Mailing Address - Country:US
Mailing Address - Phone:713-790-9401
Mailing Address - Fax:713-790-0353
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 2600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2338
Practice Address - Country:US
Practice Address - Phone:713-790-9401
Practice Address - Fax:713-790-0353
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0406207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3615733Medicaid
TX125456701Medicaid
LA1462268Medicaid
TX874225OtherBLUE CROSS BLUE SHIELD
LA1462268Medicaid
TXE89811Medicare UPIN