Provider Demographics
NPI:1891380689
Name:GARCIA AGUILERA, DAIRON MICHELL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DAIRON
Middle Name:MICHELL
Last Name:GARCIA AGUILERA
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14310 CASHEL WOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-3539
Mailing Address - Country:US
Mailing Address - Phone:713-360-9448
Mailing Address - Fax:
Practice Address - Street 1:8102 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2802
Practice Address - Country:US
Practice Address - Phone:800-290-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily