Provider Demographics
NPI:1912774944
Name:PEREZ, KARLA NATALIA
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:NATALIA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:NATALIA
Other - Last Name:PRIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6802 SINGLE CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6830
Mailing Address - Country:US
Mailing Address - Phone:972-896-8602
Mailing Address - Fax:
Practice Address - Street 1:1075 ESCALANTE TRL
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9023
Practice Address - Country:US
Practice Address - Phone:469-219-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24784235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist