Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | F3696 | TX |
N | 208200000X | Surgeon | F3696 | TX |
N | 208600000X | Surgeon | F3696 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | F3696 | TX |
NPI | 1962447326 |
---|---|
Provider Name | Dr. Eugenio A. Aguilar III |
First Address | Houston, TX 77004-7296 |
Second Address | Houston, TX 77004-7296 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 01/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10017133 | AMERIGROUP (01) | TX |
132887404 | (05) | TX |
240001344 | RAILROAD MEDICARE (01) | TX |
85T361 | BLUE SHIELD (01) | TX |
C12624 | (02) | TX |