Provider Demographics
NPI:1982476008
Name:PEREZ, MARIA LOURDES (MS, WHNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LOURDES
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MS, WHNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 ROUSE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-7446
Mailing Address - Country:US
Mailing Address - Phone:281-902-7000
Mailing Address - Fax:
Practice Address - Street 1:920 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4607
Practice Address - Country:US
Practice Address - Phone:210-736-2475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138212363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health