Active NPI
Walter D. Aguilar Rodriguez, SA-C
- Surgical Assistant
- Houston, TX
National Provider Identifier
1639621964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 14-307
- Practice address
- 9800 Centre Pkwy
Suite 530
Houston, TX 77036-8271 - Phone
- (713) 777-4539
- Fax
- (713) 583-2061
- NPI assigned
- Nov 3, 2016
- Last updated
- Nov 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 14-307 | CA | Primary |
Addresses
Primary practice location
9800 Centre Pkwy
Suite 530
Houston, TX 77036-8271
Mailing address
9800 Centre Pkwy
Suite 530
Houston, TX 77036-8271
Phone (713) 777-4539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-307 | CA | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary C Valentine Lsa | Past | Accepting new patients | |
| Key Access Institute, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgical Physician Assistant
- Houston, TX
- NPI 1629370135
-
- Surgical Physician Assistant
- Houston, TX
- NPI 1205987518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1639621964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 CENTRE PKWY",
"address_2": "SUITE 530",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368271",
"telephone_number": "713-777-4539",
"fax_number": "713-583-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 CENTRE PKWY",
"address_2": "SUITE 530",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368271",
"telephone_number": "713-777-4539",
"fax_number": "713-583-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR RODRIGUEZ",
"first_name": "WALTER",
"middle_name": "D.",
"credential": "SA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CA",
"license": "14-307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.