Provider Demographics
NPI:1942269212
Name:PEREZ, OSCAR (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4151 JAIME ZAPATA MEMORIAL HIGHWAY
Mailing Address - Street 2:STE. 104
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-4741
Mailing Address - Country:US
Mailing Address - Phone:956-728-9888
Mailing Address - Fax:956-728-9879
Practice Address - Street 1:4151 JAIME ZAPATA MEMORIAL HIGHWAY
Practice Address - Street 2:STE. 104
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4741
Practice Address - Country:US
Practice Address - Phone:956-728-9888
Practice Address - Fax:956-728-9879
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5881207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8F5638Medicare PIN