Healthcare Provider Details

I. General information

NPI: 1861027039
Provider Name (Legal Business Name): JULIA AGUIRRE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 FANNIN STREET MSB 3.151
HOUSTON TX
77030
US

IV. Provider business mailing address

4317 CYNTHIA ST
BELLAIRE TX
77401-5601
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-5800
  • Fax: 713-500-5805
Mailing address:
  • Phone: 316-617-3776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU8272
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: