Provider Demographics
NPI:1417093295
Name:DEBRA L PERRY DC PC
Entity type:Organization
Organization Name:DEBRA L PERRY DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-946-1441
Mailing Address - Street 1:1001 FAIRMONT PKWY STE M
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2970
Mailing Address - Country:US
Mailing Address - Phone:713-946-1441
Mailing Address - Fax:713-944-2401
Practice Address - Street 1:1001 FAIRMONT PKWY STE M
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2970
Practice Address - Country:US
Practice Address - Phone:713-946-1441
Practice Address - Fax:713-944-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty