MEDICARE: DAIRON MICHELL GARCIA AGUILERA NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	1029971	TX

General Provider Information

NPI Number	:	1891380689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAIRON MICHELL GARCIA AGUILERA NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	14310 CASHEL WOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-3539
Country	:	US
Telephone Number	:	713-360-9448
Fax Number	:	832-384-5550

Provider Business Practice Location Address
First Line	:	25201 KUYKENDAHL RD STE 300
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-3404
Country	:	US
Telephone Number	:	832-384-5550
Fax Number	:	832-384-5560

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

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	01/16/2026

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