Healthcare Provider Details

I. General information

NPI: 1356705891
Provider Name (Legal Business Name): RAMON ARAGON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 CLAYTON LN STE 240W
AUSTIN TX
78723-2478
US

IV. Provider business mailing address

1106 CLAYTON LN STE 240W
AUSTIN TX
78723-2478
US

V. Phone/Fax

Practice location:
  • Phone: 737-471-5402
  • Fax: 512-727-6761
Mailing address:
  • Phone: 737-471-5402
  • Fax: 512-727-6761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberS7594
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberS7594
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2019-0114
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: