Provider Demographics
NPI:1649995176
Name:AGUADO, OSCAR (MSAT STUDENT)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:AGUADO
Suffix:
Gender:M
Credentials:MSAT STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 FM 1708
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-8753
Mailing Address - Country:US
Mailing Address - Phone:678-849-6754
Mailing Address - Fax:
Practice Address - Street 1:1123 FM 1708
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-8753
Practice Address - Country:US
Practice Address - Phone:678-849-6754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer