Provider Demographics
NPI:1275533606
Name:AGUILAR, CARLOS ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ENRIQUE
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 1:15331 WILLOW SHORES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-3641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3216 SPENCER HWY
Practice Address - Street 2:STE A
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1104
Practice Address - Country:US
Practice Address - Phone:713-944-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K0160OtherBCBS INDIVIDUAL PROVIDER
TX030031102Medicaid
10023475OtherAMERIGROUP PROVIDER NUMBE
5283507OtherAETNA PROVIDER NUMBER
TX159229701Medicaid
TX030031102Medicaid
TX8A8686Medicare PIN