MEDICARE: ALFREDO AGUAYO D.C.

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	111N00000X	Chiropractor	DC7820	TX

General Provider Information

NPI Number	:	1922080118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO AGUAYO D.C.

Provider Business Mailing Address
First Line	:	1030 NORTH ZARAGOZA
Second Line	:	SUITE O
City	:	EL PASO
State	:	TX
Zip	:	79907
Country	:	US
Telephone Number	:	915-860-2233
Fax Number	:	915-860-2233

Provider Business Practice Location Address
First Line	:	1030 NORTH ZARAGOZA
Second Line	:	SUITE O
City	:	EL PASO
State	:	TX
Zip	:	79907
Country	:	US
Telephone Number	:	915-860-2233
Fax Number	:	915-860-2233

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	02/24/2020

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