Provider Demographics
NPI:1992274500
Name:PEREZ ACOSTA, ALBERTO (NP-C)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:PEREZ ACOSTA
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14770 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5252
Mailing Address - Country:US
Mailing Address - Phone:281-496-7333
Mailing Address - Fax:281-496-7337
Practice Address - Street 1:10961 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7305
Practice Address - Country:US
Practice Address - Phone:713-686-3700
Practice Address - Fax:713-686-4230
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158597363LF0000X
FL11000072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11000072OtherNP LICENSE