Provider Demographics
NPI:1083771885
Name:ALDO F BEJARANO MD PA
Entity Type:Organization
Organization Name:ALDO F BEJARANO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:BEJARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-386-9200
Mailing Address - Street 1:PO BOX 2264
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588
Mailing Address - Country:US
Mailing Address - Phone:832-386-9200
Mailing Address - Fax:832-386-9203
Practice Address - Street 1:3326 WATTERS RD BLDG D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2053
Practice Address - Country:US
Practice Address - Phone:832-386-9200
Practice Address - Fax:832-386-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10016354OtherAMERIGROUP INSURANCE
TX196881001Medicaid
TX7917366OtherCIGNA INSURANCE
TX196881002Medicaid
TX5318676OtherAETNA INSURANCE
TX0075MBOtherBLUE CROSS BLUE SHIELD TX
TX129757407Medicaid
TX196881002Medicaid