Active NPI
Eugenio a Aguilar III MD PA
- Ambulatory Surgical Clinic/Center
- Houston, TX
National Provider Identifier
1003852575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EUGENIO A AGUILAR III MD PA
- Practice address
- 6410 Fannin St
Suite 927
Houston, TX 77030-3000 - Phone
- (713) 797-0085
- Fax
- (713) 797-0694
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugenio A Aguilar III, M.D.
- Title
- Surgical Director
- Phone
- (713) 797-0085
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | F3696 | TX | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | TX | Primary |
Addresses
Primary practice location
6410 Fannin St
Suite 927
Houston, TX 77030-3000
Mailing address
6410 Fannin St
Suite 927
Houston, TX 77030-3000
Phone (713) 797-0085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0834S0901 | Medicaid | TX |
Other names 1
- Ermosa Centre
National Provider Directory
National Provider Directory- Tax ID family
- Ermosa Centre
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Plastic Surgery Physician
- Houston, TX
- NPI 1700060621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1003852575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "SUITE 927",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-797-0085",
"fax_number": "713-797-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "SUITE 927",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-797-0085",
"fax_number": "713-797-0694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENIO A AGUILAR III MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "AGUILAR",
"authorized_official_first_name": "EUGENIO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SURGICAL DIRECTOR",
"authorized_official_telephone_number": "713-797-0085",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "F3696",
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0834S0901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ermosa Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.