Organization Active NPI

Peres Holdings LLC

Doing business as Gulf Coast Medical Professionals

  • Chiropractor
  • La Porte, TX
National Provider Identifier
1174947857
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10309 Issued in TX
Legal business name
PERES HOLDINGS LLC
Doing business as
Gulf Coast Medical Professionals
Practice address
505 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6312
Phone
(713) 725-4249
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victor Peres, DC
Title
Manager
Phone
(713) 725-4249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10309 TX Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 79417 TX

Addresses

Primary practice location

505 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6312

Mailing address

505 W Fairmont Pkwy
Suite C
La Porte, TX 77571-6312
Phone (713) 725-4249

Other names 1

  • Gulf Coast Medical Professionals Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1174947857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W FAIRMONT PKWY",
            "address_2": "SUITE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716312",
            "telephone_number": "713-725-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W FAIRMONT PKWY",
            "address_2": "SUITE C",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716312",
            "telephone_number": "713-725-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERES HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "PERES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-725-4249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10309",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "79417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Medical Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.