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NPI Code Detail

MEDICARE: GEANINE PEREZ PSYD

MEDICARE: GEANINE PEREZ PSYD
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
1103TC0700XClinical Psychologist38847TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831858836
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEANINE PEREZ PSYD
Provider Business Mailing Address
First Line : 4802 SABINO BEND LN
Second Line :
City : KATY
State : TX
Zip : 77493-3906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5858 WESTHEIMER RD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5643
Country : US
Telephone Number : 713-487-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2021
Last Update Date : 12/17/2021

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