Provider Demographics
NPI:1649442427
Name:PEREZ, ERICA CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:CHRISTINE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 COLE AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-4053
Mailing Address - Country:US
Mailing Address - Phone:214-608-4855
Mailing Address - Fax:
Practice Address - Street 1:5706 E MOCKINGBIRD LN
Practice Address - Street 2:SUITE 220
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5460
Practice Address - Country:US
Practice Address - Phone:214-608-4855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor