MEDICARE: ALEX PEREZ AGPCNP-BC

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	363LA2200X	Adult Health Nurse Practitioner	309926	NY
2	363LA2200X	Adult Health Nurse Practitioner	1088094	TX

General Provider Information

NPI Number	:	1083227516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX PEREZ AGPCNP-BC

Provider Business Mailing Address
First Line	:	6402 WOODBURY SPRINGS LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2000
Country	:	US
Telephone Number	:	646-833-5986
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W KOENIG LN UNIT 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-1273
Country	:	US
Telephone Number	:	833-937-5463
Fax Number	:

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

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	01/26/2023

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Directions to “ ALEX PEREZ AGPCNP-BC” Practice Location

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