MEDICARE: DR. MARY-HELEN 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
1	208000000X	Pediatrics Physician	F9941	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1982721973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY-HELEN PEREZ M.D.

Provider Business Mailing Address
First Line	:	100 NE LOOP 410
Second Line	:	SUITE 800
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4700
Country	:	US
Telephone Number	:	469-282-2711
Fax Number	:	469-282-2609

Provider Business Practice Location Address
First Line	:	8627 CINNAMON CREEK DR
Second Line	:	BLDG. 1
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1480
Country	:	US
Telephone Number	:	210-641-5437
Fax Number	:	210-641-6420

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	01/05/2018

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