Provider Demographics
NPI:1780449405
Name:AGUILAR, GABRIELLA CATALINA
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:CATALINA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 WILSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2327
Mailing Address - Country:US
Mailing Address - Phone:361-446-1020
Mailing Address - Fax:
Practice Address - Street 1:13700 VETERANS MEMORIAL DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1017
Practice Address - Country:US
Practice Address - Phone:281-508-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator