Provider Demographics
NPI:1770740474
Name:TAMEZ, PERLA ELIZABETH (BS ASSISTANT SLP)
Entity type:Individual
Prefix:MISS
First Name:PERLA
Middle Name:ELIZABETH
Last Name:TAMEZ
Suffix:
Gender:F
Credentials:BS ASSISTANT SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 S INSPIRATION RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6983
Mailing Address - Country:US
Mailing Address - Phone:956-648-2543
Mailing Address - Fax:
Practice Address - Street 1:1110 S INSPIRATION RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6983
Practice Address - Country:US
Practice Address - Phone:956-648-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341922355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant