Healthcare Provider Details

I. General information

NPI: 1972921799
Provider Name (Legal Business Name): CARLOS ALBERTO PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 TAUB LOOP
HOUSTON TX
77030-1608
US

IV. Provider business mailing address

7200 CAMBRIDGE ST FL 10
HOUSTON TX
77030-4202
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-8890
  • Fax:
Mailing address:
  • Phone: 713-798-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR8808
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberR8808
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: