Provider Demographics
NPI:1356705891
Name:ARAGON, RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:ARAGON
Suffix:
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 1:1106 CLAYTON LN STE 240W
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2478
Mailing Address - Country:US
Mailing Address - Phone:737-471-5402
Mailing Address - Fax:512-727-6761
Practice Address - Street 1:1106 CLAYTON LN STE 240W
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2478
Practice Address - Country:US
Practice Address - Phone:737-471-5402
Practice Address - Fax:512-727-6761
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS75942084P0800X, 2084P0015X
NMMD2019-01142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356705891OtherNPI TYPE I