MEDICARE: DR. LUIS ARTURO AGUILERA GARCIA PHARMD

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	183500000X	Pharmacist	69418	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	69418	OTHER	TX	LICENSED PHARMACIST

General Provider Information

NPI Number	:	1780355461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ARTURO AGUILERA GARCIA PHARMD

Provider Business Mailing Address
First Line	:	14333 PRESTON RD APT 1004
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-6500
Country	:	US
Telephone Number	:	469-995-0373
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 TEHAMA RIDGE PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-2004
Country	:	US
Telephone Number	:	817-806-9843
Fax Number	:	817-806-9834

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

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	09/23/2021

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