MEDICARE: JESSICA FLORES PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center	38471	TX

General Provider Information

NPI Number	:	1891295325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FLORES PEREZ

Provider Business Mailing Address
First Line	:	2139 LAKE HILLS DR APT 902
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2304
Country	:	US
Telephone Number	:	787-345-0819
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 LAKE HILLS DR APT 902
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2304
Country	:	US
Telephone Number	:	787-345-0819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	02/21/2018

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Directions to “ JESSICA FLORES PEREZ ” Practice Location

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