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NPI Code Detail

MEDICARE: LYCIA D AGUIAR

MEDICARE: LYCIA D AGUIAR
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
1363LF0000XFamily Nurse PractitionerAP137527TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1462456505OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154816197
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYCIA D AGUIAR
Provider Business Mailing Address
First Line : 1501 N AMBURN RD STE 9
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2466
Country : US
Telephone Number : 281-218-7200
Fax Number :
Provider Business Practice Location Address
First Line : 1720 N LOGAN ST
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-4931
Country : US
Telephone Number : 448-410-0223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 06/22/2018

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Directions to “ LYCIA D AGUIAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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