Doctor Name: | VICTOR MANUEL PEREZ |
NPI Number: | 1225471535 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 55 Siete Lomas St Rt 2 Box 546 Eagle Pass, TX - 788526650 |
Business Phone Number: | 8309680113 |
Business Fax Number: | 8307765564 |
Mailing Address: | 55 Siete Lomas St, Rt 2 Box 546 EAGLE PASS |
State: | TX |
Postal Code: | 788526650 |
Phone Number: | 8309680113 |
Fax Number: | 8307765564 |
NPI Enumeration Date: | 04/17/2013 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |