Individual
ELSIDA M. PEREZ TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
11006 WARATH OAK CT, HOUSTON, TX 77065-5490
(281) 890-8938
(281) 890-8938
Mailing address
PO BOX 38450, HOUSTON, TX 77238-8450
(281) 890-8938
(281) 890-8938
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00445
TX
Other
Enumeration date
02/24/2011
Last updated
02/06/2014
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