Provider Demographics
NPI:1255921722
Name:AGUILAR, FAITH F (RN)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:F
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17615 BENTON CITY RD
Mailing Address - Street 2:
Mailing Address - City:VON ORMY
Mailing Address - State:TX
Mailing Address - Zip Code:78073-4008
Mailing Address - Country:US
Mailing Address - Phone:210-385-7795
Mailing Address - Fax:
Practice Address - Street 1:17615 BENTON CITY RD
Practice Address - Street 2:
Practice Address - City:VON ORMY
Practice Address - State:TX
Practice Address - Zip Code:78073-4008
Practice Address - Country:US
Practice Address - Phone:210-385-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX850419163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse