Provider Demographics
NPI:1942554324
Name:NATALY PEREZ, DC LLC
Entity Type:Organization
Organization Name:NATALY PEREZ, DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-498-2236
Mailing Address - Street 1:401 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2203
Mailing Address - Country:US
Mailing Address - Phone:832-498-2236
Mailing Address - Fax:888-811-8540
Practice Address - Street 1:373 1/2 W 19TH ST STE B2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3946
Practice Address - Country:US
Practice Address - Phone:832-498-2236
Practice Address - Fax:888-811-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty