Provider Demographics
NPI:1982293742
Name:PEREZ, ISIDRO
Entity Type:Individual
Prefix:
First Name:ISIDRO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 FRY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5813
Mailing Address - Country:US
Mailing Address - Phone:281-829-2565
Mailing Address - Fax:281-829-9560
Practice Address - Street 1:1550 FRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5813
Practice Address - Country:US
Practice Address - Phone:281-829-2565
Practice Address - Fax:281-829-9560
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician