Provider Demographics
NPI:1609760610
Name:PEREZ TORRES, MARIA GUADALUPE (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:GUADALUPE
Last Name:PEREZ TORRES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3946
Mailing Address - Country:US
Mailing Address - Phone:469-403-0534
Mailing Address - Fax:
Practice Address - Street 1:817 W JEFFERSON BLVD STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4924
Practice Address - Country:US
Practice Address - Phone:214-948-8298
Practice Address - Fax:214-416-7520
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1202286163WX0800X, 207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty