Individual provider Active NPI

Lillian Elizabet Perez, D.O.

  • Family Medicine Physician
  • Schertz, TX
National Provider Identifier
1710925805
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9940 Issued in TX
Practice address
1739 Schertz Pkwy
Schertz, TX 78154-1639
Phone
(210) 491-8179
Fax
(210) 590-2664
NPI assigned
Jun 2, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9940 TX Primary

Addresses

Primary practice location

1739 Schertz Pkwy
Schertz, TX 78154-1639

Mailing address

1739 Schertz Pkwy
Schertz, TX 78154-1639
Phone (210) 491-8179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000997 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 4082676440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince May 29, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 29, 2018 Accepting new patients
Bluebonnet Family Care Family Medicine Past Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
Southwest Medical Associates, Inc. PastSince Apr 21, 2024 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1710925805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 SCHERTZ PKWY",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541639",
            "telephone_number": "210-491-8179",
            "fax_number": "210-590-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 SCHERTZ PKWY",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541639",
            "telephone_number": "210-491-8179",
            "fax_number": "210-590-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LILLIAN",
        "middle_name": "ELIZABET",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.