Perez, Sue Ellen
Perez, Sue Ellen is an sole proprietor health care provider with primary practice located at 23910 Katy Fwy Ste 201 , Katy TX 77494-1477. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Perez, Sue Ellen can be contacted via phone (713) 486-9800.Contact Information
Primary practice address
23910 Katy Fwy Ste 201
Katy TX 77494-1477
Phone: (713) 486-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | C5-0000337 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA052372 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12152 | Texas |
Profile Details
| NPI number | 1629095559 |
|---|---|
| LBN Legal business name | Perez, Sue Ellen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629095559 | NPPES |
| Delaware | MEDICAID | 017642A48 |
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