Provider Demographics
NPI:1205728912
Name:PEREZ REYES, MARCELYS E
Entity type:Individual
Prefix:
First Name:MARCELYS
Middle Name:E
Last Name:PEREZ REYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 AVENUE F
Mailing Address - Street 2:MARCELYSELI@GMAIL.COM
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-7701
Mailing Address - Country:US
Mailing Address - Phone:409-995-8265
Mailing Address - Fax:
Practice Address - Street 1:8524 HIGHWAY 6 N STE 562
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2103
Practice Address - Country:US
Practice Address - Phone:713-382-9307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10163172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker