Provider Demographics
NPI:1134973399
Name:PEREZ, ARESLY G
Entity type:Individual
Prefix:
First Name:ARESLY
Middle Name:G
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 KATY HOCKLEY CUT OFF RD TRLR 113
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1555
Mailing Address - Country:US
Mailing Address - Phone:832-746-7651
Mailing Address - Fax:
Practice Address - Street 1:2499 KATY HOCKLEY CUT OFF RD TRLR 113
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1555
Practice Address - Country:US
Practice Address - Phone:832-746-7651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program