MEDICARE: EUGENIO A AGUILAR III MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	F3696	TX
2	261QA1903X	Ambulatory Surgical Clinic/Center		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003852575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUGENIO A AGUILAR III MD PA

Provider Business Mailing Address
First Line	:	6410 FANNIN ST
Second Line	:	SUITE 927
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	713-797-0085
Fax Number	:	713-797-0694

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST
Second Line	:	SUITE 927
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	713-797-0085
Fax Number	:	713-797-0694

Authorized Official
Title or Position	:	SURGICAL DIRECTOR
Name	:	DR. EUGENIO A AGUILAR III
Credential	:	M.D.
Telephone Number	:	713-797-0085

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/14/2008

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