LACEY L. AGUERO (NPI# 1275066227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275066227 |
| Entity Type | Organization |
| Organization Name | LACEY L. AGUERO |
| Practice Address |
6407 Cougar Vlg San Antonio TX 78242-2466 |
| Practice Telephone | 2106393353 |
| Practice Fax Number | 2102338672 |
| Mailing Telephone | 2106393112 |
| Mailing Fax Number | 2102338672 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-10-13 |
| Authorized Official Name | LACEY LILLIAN AGUERO (LICENSED SURGICAL ASSISTANT) |
| Authorized Official Telephone | 2106393353 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | SA00674 | 01 |
| Street Address |
6407 COUGAR VLG |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78242-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958680 | Lacey Lillian Aguero | Physician Assistant | 6407 Cougar Vlg, San Antonio, TX 78242 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921779 | Ntcg Holdings LLP | Durable Medical Equipment & Medical Supplies | 5710 Old Pearsall Rd, San Antonio, TX 78242 | 2018-05-09 |
| 1023362480 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5975 Old Pearsall Rd, San Antonio, TX 78242 | 2012-11-06 |
| 1538484282 | Albert A. Jimenez | Counselor | 5203 Old Pearsall Rd, San Antonio, TX 78242 | 2010-04-06 |
| 1356810162 | Tominesha Brown | Licensed Vocational Nurse | 6010 Ray Ellison Blvd Apt 9108, San Antonio, TX 78242-0013 | 2018-11-21 |
| 1518505213 | Larrayshia Berry | Licensed Vocational Nurse | 8211 Tesoro Hls, San Antonio, TX 78242-1414 | 2019-12-13 |
| 1053811059 | Clarissa Alvarado | Registered Nurse | 6138 Elm Valley Dr, San Antonio, TX 78242-1522 | 2018-02-15 |
| 1275907727 | El Centro Del Barrio, Inc | Clinic/Center | 5750 Medina Base Rd, San Antonio, TX 78242-1708 | 2015-11-20 |
| 1306872825 | Samantha Maria Airhart | Counselor | 7319 Net Valley Dr, San Antonio, TX 78242-2048 | 2006-06-25 |
| 1619304425 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 7239 Sw Loop 410, San Antonio, TX 78242-2049 | 2013-10-11 |
| 1629578513 | Erica Olvera | Licensed Vocational Nurse | 7523 Alpine Valley Dr, San Antonio, TX 78242-2108 | 2018-02-16 |
| Find all providers in zip 78242 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1265989958 | Liz Ramirez-valencia | Physician Assistant | 12118 Ridge Court St, San Antonio, TX 78247-3402 | 2016-09-09 |
| 1831645399 | Carlos E Martin Colindres | Physician Assistant | 18211 Bulverde Rd Apt 13207, San Antonio, TX 78259-3720 | 2016-08-25 |
| 1093188559 | Padeniran Corp, Pllc | Physician Assistant | 2313 Lockhill Selma Rd # 158, San Antonio, TX 78230-3007 | 2015-11-05 |
| 1679944631 | Elite Surgical Associates of Sa | Physician Assistant | 20079 Stone Oak Pkwy Ste 1105-482, San Antonio, TX 78258-6942 | 2015-10-15 |
| 1679958680 | Lacey Lillian Aguero | Physician Assistant | 6407 Cougar Vlg, San Antonio, TX 78242 | 2015-07-21 |
| 1447635453 | Neuro Precision Assisting, Pllc | Physician Assistant | 5886 De Zavala Rd, Ste 102 #495, San Antonio, TX 78249-2269 | 2015-07-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78242 |
Please comment or provide details below to improve the information on LACEY L. AGUERO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.