Provider Demographics
NPI:1295732592
Name:AGUILAR, OSCAR M (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:M
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 BARTLETT DR
Mailing Address - Street 2:STE 102
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1607
Mailing Address - Country:US
Mailing Address - Phone:915-532-4542
Mailing Address - Fax:915-532-0585
Practice Address - Street 1:211 BARTLETT DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912
Practice Address - Country:US
Practice Address - Phone:915-600-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6979207R00000X, 207RI0011X, 207U00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151371507Medicaid
TX00166VMedicare PIN
TX151371502Medicaid