Provider Demographics
NPI:1982721973
Name:PEREZ, MARY-HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARY-HELEN
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 NE LOOP 410
Mailing Address - Street 2:SUITE 800
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4700
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-2609
Practice Address - Street 1:8627 CINNAMON CREEK DR
Practice Address - Street 2:BLDG. 1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1480
Practice Address - Country:US
Practice Address - Phone:210-641-5437
Practice Address - Fax:210-641-6420
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9941208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115083104Medicaid
TX115083106Medicaid
TX115083103Medicaid
TX87500NMedicare PIN