MEDICARE: ANDREA AGUIRRE

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	111NR0400X	Rehabilitation Chiropractor	8102	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	842610224	OTHER	TX	THERAPY

General Provider Information

NPI Number	:	1427603695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA AGUIRRE

Provider Business Mailing Address
First Line	:	2410 ELLA BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2721
Country	:	US
Telephone Number	:	281-681-4131
Fax Number	:	281-688-4302

Provider Business Practice Location Address
First Line	:	2410 ELLA BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2721
Country	:	US
Telephone Number	:	281-688-4131
Fax Number	:	281-688-4302

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

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	08/05/2019

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Directions to “ ANDREA AGUIRRE ” Practice Location

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