MEDICARE: MICHAEL A ARAGON M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	L4856	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00789321	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	8CE583	OTHER	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104886555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A ARAGON M.D.

Provider Business Mailing Address
First Line	:	3801 WILLIAM D TATE AVE
Second Line	:	STE 105
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-8755
Country	:	US
Telephone Number	:	817-488-6812
Fax Number	:	817-251-1303

Provider Business Practice Location Address
First Line	:	7250 HAWKINS VIEW DR
Second Line	:	SUITE 410
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3920
Country	:	US
Telephone Number	:	817-294-0280
Fax Number	:	817-294-2084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	03/10/2016

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Directions to “ MICHAEL A ARAGON M.D.” Practice Location

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