Provider Demographics
NPI:1356573653
Name:PEREZ, NORMA (DO)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 3.200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-5714
Mailing Address - Fax:713-500-5688
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 3.200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-5714
Practice Address - Fax:713-500-5688
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM20142080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205043701Medicaid
TX205043702OtherCSHCN
TX8L18815Medicare PIN