Organization
JOSE A. PEREZ
Active
Organization
JOSE A. PEREZ
Active
Other names
PDP Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A PEREZ ABO (OWNER)
(713) 802-2020
Entity
Organization
Contact information
Practice address
1919 NORTH LOOP W, SUITE 170 A, HOUSTON, TX 77008-1374
(703) 802-2020
(713) 802-2022
Mailing address
1919 NORTH LOOP W, SUITE 170 A, HOUSTON, TX 77008-1374
(703) 802-2020
(713) 802-2022
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DR4076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865495-01
—
TX
05
—
086549501
—
TX
Enumeration date
01/09/2008
Last updated
07/17/2008
Update your record
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