Individual
MARISSA SABINO PERONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6441 HIGH STAR, HOUSTON, TX 77074
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147363902
—
TX
Enumeration date
07/14/2006
Last updated
05/15/2014
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