Provider Demographics
NPI:1932316395
Name:AGUILAR, KELLY RENEE (MD)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:RENEE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2255 E MOSSY OAKS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1768
Mailing Address - Country:US
Mailing Address - Phone:936-266-2190
Mailing Address - Fax:936-266-8580
Practice Address - Street 1:2255 E MOSSY OAKS RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1768
Practice Address - Country:US
Practice Address - Phone:936-266-2190
Practice Address - Fax:936-266-8580
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8474207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism