Provider Demographics
NPI:1659672368
Name:AGUILAR, DORA NELLY (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:NELLY
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28517 SPRING TRAILS RDG STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4357
Mailing Address - Country:US
Mailing Address - Phone:281-362-5436
Mailing Address - Fax:281-651-5451
Practice Address - Street 1:28517 SPRING TRAILS RDG STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4357
Practice Address - Country:US
Practice Address - Phone:281-362-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX791350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily