MEDICARE: SARA AGUIRRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	54628	TX
2	1041C0700X	Clinical Social Worker	54628	TX
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1841935657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA AGUIRRE

Provider Business Mailing Address
First Line	:	4800 SUGAR GROVE BLVD STE 620Q
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-2150
Country	:	US
Telephone Number	:	281-826-1772
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SUGAR GROVE BLVD STE 620Q
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-2150
Country	:	US
Telephone Number	:	281-826-1772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	03/31/2025

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Directions to “ SARA AGUIRRE ” Practice Location

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