Individual
MR. OCTAVIO AGUILERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 433-9545
Mailing address
6845 INCA DOVE, EL PASO, TX 79911-3094
(915) 433-9545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128501
TX
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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