Provider Demographics
NPI:1104886555
Name:ARAGON, MICHAEL A (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:ARAGON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 WILLIAM D TATE AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8755
Mailing Address - Country:US
Mailing Address - Phone:817-488-6812
Mailing Address - Fax:817-251-1303
Practice Address - Street 1:7250 HAWKINS VIEW DR
Practice Address - Street 2:SUITE 410
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3920
Practice Address - Country:US
Practice Address - Phone:817-294-0280
Practice Address - Fax:817-294-2084
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2016-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL4856207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8CE583OtherBCBSTX
TX168913507Medicaid
TX168913509Medicaid
P00789321OtherRAILROAD MEDICARE
P00789321OtherRAILROAD MEDICARE
8CE583OtherBCBSTX