Healthcare Provider Details

I. General information

NPI: 1659672368
Provider Name (Legal Business Name): DORA NELLY AGUILAR APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28517 SPRING TRAILS RDG STE 100
SPRING TX
77386-4357
US

IV. Provider business mailing address

28517 SPRING TRAILS RDG STE 100
SPRING TX
77386-4357
US

V. Phone/Fax

Practice location:
  • Phone: 281-362-5436
  • Fax:
Mailing address:
  • Phone: 281-362-5436
  • Fax: 281-651-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number791350
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: