Provider Demographics
NPI:1497824221
Name:AGUILAR-SITEK, VIRGINIA (DO)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:AGUILAR-SITEK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLANCO ROAD
Mailing Address - Street 2:STE 105 PMB 801
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-492-2300
Mailing Address - Fax:210-492-5454
Practice Address - Street 1:14327 BLANCO ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:210-492-2300
Practice Address - Fax:210-492-5454
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5757207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J3280OtherBCBS
H17656Medicare UPIN