Provider Demographics
NPI:1851057947
Name:PEREZ, MARIA ANNABEL (NP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANNABEL
Last Name:PEREZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78333-0289
Mailing Address - Country:US
Mailing Address - Phone:361-664-9353
Mailing Address - Fax:361-668-1830
Practice Address - Street 1:305 E 3RD ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4705
Practice Address - Country:US
Practice Address - Phone:361-664-9353
Practice Address - Fax:361-668-1630
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1058473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily