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General NPI Number Information
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NPI Number | 1194929778
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Entity Type | Individual
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Provider Name | MIKE PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 6720 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 713-798-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ # 286A
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 713-798-5071
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | N1414
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | N1414
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | N1414
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | N1414
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License Number State | TX
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