Provider Demographics
NPI:1184667727
Name:AGUILAR, SILVESTRE F (MD)
Entity Type:Individual
Prefix:
First Name:SILVESTRE
Middle Name:F
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 1:1 MEDICAL PKWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7841
Practice Address - Country:US
Practice Address - Phone:972-406-9393
Practice Address - Fax:972-406-8787
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC12913Medicare UPIN