Provider Demographics
NPI:1982351557
Name:PEREZ, BRIANA TRESA JANEE (AS, BA, BS)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:TRESA JANEE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:AS, BA, BS
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:TRESA JANEE
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AS, BA, BS
Mailing Address - Street 1:100 S LOIS LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3401
Mailing Address - Country:US
Mailing Address - Phone:469-877-2259
Mailing Address - Fax:
Practice Address - Street 1:3939 US HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3359
Practice Address - Country:US
Practice Address - Phone:469-877-2259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator