MEDICARE: ISRAEL 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	225200000X	Physical Therapy Assistant	2059149	TX

General Provider Information

NPI Number	:	1821235664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISRAEL PEREZ

Provider Business Mailing Address
First Line	:	7837 ROCKHILL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-2236
Country	:	US
Telephone Number	:	713-623-1649
Fax Number	:

Provider Business Practice Location Address
First Line	:	7837 ROCKHILL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-2236
Country	:	US
Telephone Number	:	713-623-1649
Fax Number	:

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

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	01/15/2009

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Directions to “ ISRAEL PEREZ ” Practice Location

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