| Clinica Siete | |
|
2609 E 7th St Austin TX 78702-3905 | |
| (512) 474-6836 | |
| (512) 474-1904 |
| Full Name | Clinica Siete |
|---|---|
| Speciality | Clinic/Center |
| Location | 2609 E 7th St, Austin, Texas |
| Authorized Official Name and Position | Horacio Miguel Agueros (DR/PHYSICIAN) |
| Authorized Official Contact | 5124746836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Siete 2609 E 7th St Austin TX 78702-3905 Ph: (512) 474-6836 | Clinica Siete 2609 E 7th St Austin TX 78702-3905 Ph: (512) 474-6836 |
| NPI Number | 1982905766 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 1850588716 |
|---|---|
| Medicare Enrollment ID | O20101206000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982905766 | NPI | - | NPPES |
| 00354G | Other | TX | MEDICARE |
| 0301293-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K6791 (Texas) | Primary |
| Provider Name | Horacio M Agueros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477586618 PECOS PAC ID: 4385831247 Enrollment ID: I20101206000338 |
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