Provider Demographics
NPI:1477586618
Name:AGUEROS, HORACIO MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:MIGUEL
Last Name:AGUEROS
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 1:2609 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3905
Mailing Address - Country:US
Mailing Address - Phone:512-474-6836
Mailing Address - Fax:512-474-1904
Practice Address - Street 1:2609 E 7TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-3905
Practice Address - Country:US
Practice Address - Phone:512-474-6836
Practice Address - Fax:512-474-1904
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6791207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG56752Medicare UPIN
00354GMedicare ID - Type Unspecified