Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1532 | TX |
Y | 222Z00000X | Podiatrist | 1532 | TX |
NPI | 1043279631 |
---|---|
Provider Name | Dr. Robert G Aguilar |
First Address | College Station, TX 77845-5812 |
Second Address | Brenham, TX 77833-5412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 09/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080873501 | (05) | TX |
8W6360 | BLUE CROSS BLUE SHIELD OF TEXAS (01) | TX |
P00367018 | RAIL ROAD MEDICARE (01) | TX |
U88708 | (02) | TX |