Provider Demographics
NPI:1801507231
Name:PEREZ ASUAJE, PATRICIA CAROLINA (RDN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CAROLINA
Last Name:PEREZ ASUAJE
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4826 KENDRA FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3893
Mailing Address - Country:US
Mailing Address - Phone:404-483-2053
Mailing Address - Fax:
Practice Address - Street 1:4826 KENDRA FOREST TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3893
Practice Address - Country:US
Practice Address - Phone:404-483-2053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11633133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered