Individual ProviderKrystal PerezSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4208 Retama Cir, Victoria, TX 77901-2765(361) 582-0611PECOS EnrollmentBased on the most recent information from CMS, provider Krystal Perez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821357393Provider TypeIndividualFull NamePerez, KrystalCredentialCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date5/3/2012Last Updated2/6/2013Contact InformationPractice LocationPractice Address4208 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-0555Mailing LocationMailing AddressPO Box 5171, Victoria, TX 77903-5171Phone(361) 582-0611Fax(361) 582-0555Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense107603Texas