Provider Demographics
NPI:1386989499
Name:AGUILAR, KARLA PATRICIA (CNA)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:PATRICIA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13408 SUNDALE RD TRLR 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-1558
Mailing Address - Country:US
Mailing Address - Phone:830-719-7477
Mailing Address - Fax:
Practice Address - Street 1:13408 SUNDALE RD TRLR 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-1558
Practice Address - Country:US
Practice Address - Phone:830-719-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA8713419374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide