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NPI Code Detail

MEDICARE: DR. MAYRA PEREZ M.D.

MEDICARE: DR. MAYRA PEREZ M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841461704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYRA PEREZ M.D.
Provider Business Mailing Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-3332
Provider Business Practice Location Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-674-3326
Fax Number : 713-674-3332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 03/19/2008

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Directions to “ DR. MAYRA PEREZ M.D.” Practice Location

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