Provider Demographics
NPI:1992774590
Name:ARAGON, ANTONIO V II (MD)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:V
Last Name:ARAGON
Suffix:II
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:PO BOX 50720
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0720
Mailing Address - Country:US
Mailing Address - Phone:806-467-0459
Mailing Address - Fax:806-355-1284
Practice Address - Street 1:7411 WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1835
Practice Address - Country:US
Practice Address - Phone:806-351-1870
Practice Address - Fax:806-355-1284
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1474207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173860101Medicaid
TX8G3582OtherBCBS
TXH19076Medicare UPIN
8D6335Medicare PIN
TX8D6335Medicare ID - Type Unspecified
TX173860102Medicaid