Provider Demographics
NPI:1386941532
Name:AGUIRRE, JOEL ADRIAN
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:ADRIAN
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 LORIMARK DR
Mailing Address - Street 2:
Mailing Address - City:PALMHURST
Mailing Address - State:TX
Mailing Address - Zip Code:78573-3398
Mailing Address - Country:US
Mailing Address - Phone:956-240-3650
Mailing Address - Fax:956-519-9922
Practice Address - Street 1:4205 LORIMARK DR
Practice Address - Street 2:
Practice Address - City:PALMHURST
Practice Address - State:TX
Practice Address - Zip Code:78573-3398
Practice Address - Country:US
Practice Address - Phone:956-240-3650
Practice Address - Fax:956-519-9922
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications