Provider Demographics
NPI:1962447326
Name:AGUILAR, EUGENIO A III (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIO
Middle Name:A
Last Name:AGUILAR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BINZ ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7296
Mailing Address - Country:US
Mailing Address - Phone:713-521-4777
Mailing Address - Fax:
Practice Address - Street 1:1801 BINZ ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7296
Practice Address - Country:US
Practice Address - Phone:713-521-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3696208200000X, 2086S0122X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132887404Medicaid
TX85T361OtherBLUE SHIELD
TX10017133OtherAMERIGROUP
TX240001344OtherRAILROAD MEDICARE
TX10017133OtherAMERIGROUP
TX85T361Medicare PIN