Healthcare Provider Details

I. General information

NPI: 1740196054
Provider Name (Legal Business Name): SARAH JAEL PEREZ BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 ELMONT DR APT 503
AUSTIN TX
78741-0059
US

IV. Provider business mailing address

4405 WAGON TRL
HARLINGEN TX
78552-2637
US

V. Phone/Fax

Practice location:
  • Phone: 956-454-0443
  • Fax:
Mailing address:
  • Phone: 956-454-0443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number44105
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: