MEDICARE: DR. EUGENIO A. AGUILAR III M.D.

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	208200000X	Plastic Surgery Physician	F3696	TX
2	2086S0122X	Plastic and Reconstructive Surgery Physician	F3696	TX
3	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	F3696	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	240001344	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	85T361	OTHER	TX	BLUE SHIELD
3	10017133	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1962447326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENIO A. AGUILAR III M.D.

Provider Business Mailing Address
First Line	:	1801 BINZ ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7296
Country	:	US
Telephone Number	:	713-521-4777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 BINZ ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7296
Country	:	US
Telephone Number	:	713-521-4777
Fax Number	:

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

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	04/01/2019

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