Tessa V. Perez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L4641 Issued in TX

Legal business name

TESSA V. PEREZ, M.D.

Practice address

1901 Highway 97 E Ste 120
Jourdanton, TX 78026-1507

Phone

(830) 769-1045

Fax

(830) 769-1105

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tessa V Perez, M.D.

Title

President

Phone

(830) 769-1045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487871836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 97 E STE 120",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261507",
            "telephone_number": "830-769-1045",
            "fax_number": "830-769-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 97 E STE 120",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261507",
            "telephone_number": "830-769-1045",
            "fax_number": "830-769-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA V. PEREZ, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-769-1045",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Jourdanton, TX
• Providers in Jourdanton, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.