Provider Demographics
NPI:1750488805
Name:AGUILAR, MARTHA B (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:B
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2010 NAOMI ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3835
Mailing Address - Country:US
Mailing Address - Phone:713-667-8292
Mailing Address - Fax:713-667-8925
Practice Address - Street 1:2010 NAOMI ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3835
Practice Address - Country:US
Practice Address - Phone:713-667-8292
Practice Address - Fax:713-667-8925
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2144207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0437709-01Medicaid
TXG94290Medicare UPIN
TX0437709-01Medicaid