Active NPI
Eduardo J. Agueros M.D. PA.
- Primary Care Clinic/Center
- Austin, TX
National Provider Identifier
1982905766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- K6791
- Legal business name
- EDUARDO J. AGUEROS M.D. PA.
- Practice address
- 2609 E 7TH St
Austin, TX 78702-3905 - Phone
- (512) 474-6836
- Fax
- (512) 474-1904
- NPI assigned
- Nov 9, 2010
- 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. Horacio Miguel Agueros, M.D.
- Title
- Dr/Physician
- Phone
- (512) 474-6836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | K6791 | TX | Primary |
Addresses
Primary practice location
2609 E 7TH St
Austin, TX 78702-3905
Mailing address
2609 E 7TH St
Austin, TX 78702-3905
Phone (512) 474-6836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354G | Other | TX | MEDICARE |
| 0301293-01 | Medicaid | TX |
Other names 1
- Clinica Siete
National Provider Directory
National Provider DirectoryLocations
2609 E 7th St
Austin, TX 78702
Phone (512) 474-6836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1982905766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 E 7TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023905",
"telephone_number": "512-474-6836",
"fax_number": "512-474-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 E 7TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023905",
"telephone_number": "512-474-6836",
"fax_number": "512-474-1904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUARDO J. AGUEROS M.D. PA.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "AGUEROS",
"authorized_official_first_name": "HORACIO",
"authorized_official_middle_name": "MIGUEL",
"authorized_official_title_or_position": "DR/PHYSICIAN",
"authorized_official_telephone_number": "512-474-6836",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "K6791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00354G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301293-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinica Siete",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- Emmanuel Chukwelo Edoka, M.D
- Jo Anne Wise Edoka, M.D.
- Sarah Edrington
- Andrew M Edson, M.MFT., LMFT
- Eduardo I. Garcia, M.D. & Associates
- Ana M. Eduardo, M.D.
- Educare Community Living - Normal Life, Inc.
- Educare Community Living - Normal Life, Inc.
- Educare Community Living - Normal Life, Inc.
- Educare Community Living - Normal Life, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.