Provider Demographics
NPI:1366731770
Name:AGUIRRE, JAVIER ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ANTONIO
Last Name:AGUIRRE
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 1:12200 RENFERT WAY
Mailing Address - Street 2:SUITE
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5653
Mailing Address - Country:US
Mailing Address - Phone:512-451-8211
Mailing Address - Fax:512-452-4095
Practice Address - Street 1:12200 RENFERT WAY
Practice Address - Street 2:SUITE
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5653
Practice Address - Country:US
Practice Address - Phone:512-451-8211
Practice Address - Fax:512-452-4095
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0856207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology