Individual provider Active NPI

Miguel Angel Michel Perez, SA-C

  • Surgical Assistant
  • Burleson, TX
National Provider Identifier
1336944149
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
25-155 Issued in TX
Practice address
2528 Crestwood Dr
Burleson, TX 76028-6388
Phone
(760) 698-1187
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 25-155 TX Primary

Addresses

Primary practice location

2528 Crestwood Dr
Burleson, TX 76028-6388

Mailing address

2528 Crestwood Dr
Burleson, TX 76028-6388
Phone (760) 698-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-155TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1336944149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 CRESTWOOD DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286388",
            "telephone_number": "760-698-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 CRESTWOOD DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760286388",
            "telephone_number": "760-698-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL PEREZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "25-155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.