| Angel Perez M D P a | |
|
15055 East Fwy Ste B60 Channelview TX 77530-4192 | |
| (281) 452-4444 | |
| (281) 452-4494 |
| Full Name | Angel Perez M D P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 15055 East Fwy Ste B60, Channelview, Texas |
| Authorized Official Name and Position | Angel Perez (OWNER) |
| Authorized Official Contact | 2814524444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Perez M D P a 15055 East Fwy Suite B-60 Channelview TX 77530-4144 Ph: (281) 452-4444 | Angel Perez M D P a 15055 East Fwy Ste B60 Channelview TX 77530-4192 Ph: (281) 452-4444 |
| NPI Number | 1326157322 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Medicare PECOS PAC ID | 3173622834 |
|---|---|
| Medicare Enrollment ID | O20070620000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326157322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1693 (Texas) | Primary |
| Provider Name | Angel Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477541662 PECOS PAC ID: 6204872294 Enrollment ID: I20050629001123 |
| Provider Name | Brenda Alicia Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416135 PECOS PAC ID: 7012300619 Enrollment ID: I20220202003024 |
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