Provider Demographics
NPI:1841935657
Name:AGUIRRE, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SUGAR GROVE BLVD STE 620Q
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2150
Mailing Address - Country:US
Mailing Address - Phone:281-826-1772
Mailing Address - Fax:
Practice Address - Street 1:4800 SUGAR GROVE BLVD STE 620Q
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2150
Practice Address - Country:US
Practice Address - Phone:281-826-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54628104100000X, 1041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker