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General NPI Number Information
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NPI Number | 1851925135
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Entity Type | Individual
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Provider Name | ELVIS L MASSIP-PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1420 KATY FORT BEND RD STE 105
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City | KATY
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State | TX
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Zip | 77493-1297
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Country | US
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Telephone | 281-783-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME145787
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T9180
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License Number State | TX
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