Healthcare Provider Details

I. General information

NPI: 1255240875
Provider Name (Legal Business Name): ISABELLA A AGUILAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ISA AGUILAR

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 DOGWOOD DR
NACOGDOCHES TX
75965-3690
US

IV. Provider business mailing address

3398 STATE HIGHWAY 315
CARTHAGE TX
75633-5540
US

V. Phone/Fax

Practice location:
  • Phone: 903-754-7571
  • Fax:
Mailing address:
  • Phone: 903-754-7571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: