Provider Demographics
NPI:1336209147
Name:PEREZ, OSCAR E (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 N EL PASO ST STE A
Mailing Address - Street 2:1400 N EL PASO ST BLDG A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3438
Mailing Address - Country:US
Mailing Address - Phone:915-533-5550
Mailing Address - Fax:915-771-8478
Practice Address - Street 1:1400 N EL PASO ST STE A
Practice Address - Street 2:1400 N EL PASO ST BLDG A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3438
Practice Address - Country:US
Practice Address - Phone:915-533-5550
Practice Address - Fax:915-771-8478
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2022-08-15
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Provider Licenses
StateLicense IDTaxonomies
TXF06152084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114349701Medicaid
TX00CW67Medicare ID - Type Unspecified
TXC20405Medicare UPIN