Individual provider Active NPI

Francisco J Agullo, MD

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
National Provider Identifier
1184821084
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M7813 Issued in TX
Practice address
1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410
Phone
(915) 590-7900
Fax
(915) 590-7902
NPI assigned
Jul 3, 2007
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X M7813 TX Primary

Addresses

Primary practice location

1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410

Mailing address

1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410
Phone (915) 590-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000108 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 3072614379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7813TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2009 Accepting new patients
Texas Tech University Health Sciences Center El Paso Plastic and Reconstructive Surgery CurrentSince Aug 1, 2009 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients

Locations

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1184821084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG C301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-590-7900",
            "fax_number": "915-590-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG C301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-590-7900",
            "fax_number": "915-590-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGULLO",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M7813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.