MEDICARE: TEXAS INTEGRATIVE MEDICINE AND CARDIOLOGY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207U00000X	Nuclear Medicine Physician
2	363L00000X	Nurse Practitioner
3	133V00000X	Registered Dietitian
4	171100000X	Acupuncturist
5	207RI0011X	Interventional Cardiology Physician
6	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1053859322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS INTEGRATIVE MEDICINE AND CARDIOLOGY, PLLC

Provider Business Mailing Address
First Line	:	100 EXECUTIVE CENTER BLVD STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1136
Country	:	US
Telephone Number	:	915-532-8233
Fax Number	:	915-532-8235

Provider Business Practice Location Address
First Line	:	100 EXECUTIVE CENTER BLVD STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1136
Country	:	US
Telephone Number	:	915-532-8233
Fax Number	:	915-532-8235

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OSCAR M AGUILAR
Credential	:	M.D.
Telephone Number	:	915-600-2905

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	05/06/2026

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