Provider Demographics
NPI:1114477668
Name:AGUILAR SIMON, ALESNAY (LSA)
Entity Type:Individual
Prefix:
First Name:ALESNAY
Middle Name:
Last Name:AGUILAR SIMON
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 HARWIN DR
Mailing Address - Street 2:APT 1226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1500
Mailing Address - Country:US
Mailing Address - Phone:346-276-7391
Mailing Address - Fax:
Practice Address - Street 1:10300 HARWIN DR
Practice Address - Street 2:APT 1226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1500
Practice Address - Country:US
Practice Address - Phone:346-276-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-08
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00659246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant