Healthcare Provider Details

I. General information

NPI: 1588545669
Provider Name (Legal Business Name): TANYA A AGUILAR ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 GRANTHAM DR
RICHARDSON TX
75082-4908
US

IV. Provider business mailing address

3008 GRANTHAM DR
RICHARDSON TX
75082-4908
US

V. Phone/Fax

Practice location:
  • Phone: 972-971-4373
  • Fax: 469-461-3580
Mailing address:
  • Phone: 972-971-4373
  • Fax: 469-461-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: